NPIMap

Organization Active NPI

Centennial Health, PC

Doing business as Oklahoma City Clinic, PC

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1376585034
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTENNIAL HEALTH, PC
Doing business as
Oklahoma City Clinic, PC
Practice address
1720 NE 23Rd St
Oklahoma City, OK 73111-3324
Phone
(405) 280-5550
Fax
(405) 280-5780
NPI assigned
Jun 10, 2006
Last updated
Nov 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara Chilton
Title
Manager
Phone
(405) 280-5634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1720 NE 23Rd St
Oklahoma City, OK 73111-3324

Mailing address

PO Box 659506
Section 4142
San Antonio, TX 78265
Phone (405) 280-5634

Other practice location 1

1636 Midtown Pl
Midwest City, OK 73130-6347
Phone (405) 869-7700

Other practice location 2

2005 Parkview Dr Ste 2
El Reno, OK 73036-2145
Phone (405) 776-1465

Other practice location 3

225 Lilac Dr Ste 200
Edmond, OK 73034-7287
Phone (405) 330-7000

Other practice location 4

817 S Elm Pl
Broken Arrow, OK 74012-5369
Phone (918) 251-2273

Other identifiers 1

IdentifierTypeStateIssuer
100728970AMedicaidOK

Other names 1

  • Oklahoma City Clinic, PC Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

225 Lilac Dr
Ste 200
Edmond, OK 73034
Phone (405) 330-7000

1708 NE 23rd St
Oklahoma City, OK 73111
Phone (405) 280-5550

600 National Ave
Oklahoma City, OK 73110
Phone (405) 869-7700

13321 N Meridian Ave
Ste 408
Oklahoma City, OK 73120
Phone (405) 752-7200

701 NE 10th St
Oklahoma City, OK 73104
Phone (405) 232-8003

1720 NE 23rd St
Oklahoma City, OK 73111
Phone (405) 280-5550

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1376585034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659506",
            "address_2": "SECTION 4142",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78265",
            "telephone_number": "405-280-5634",
            "fax_number": "405-280-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 NE 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731113324",
            "telephone_number": "405-280-5550",
            "fax_number": "405-280-5780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 Midtown Pl",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731306347",
            "country_code": "US",
            "telephone_number": "405-869-7700",
            "fax_number": "405-869-7724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 Parkview Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "El Reno",
            "state": "OK",
            "postal_code": "730362145",
            "country_code": "US",
            "telephone_number": "405-776-1465",
            "fax_number": "405-280-5780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Lilac Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730347287",
            "country_code": "US",
            "telephone_number": "405-330-7000",
            "fax_number": "405-330-7075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 S Elm Pl",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740125369",
            "country_code": "US",
            "telephone_number": "918-251-2273",
            "fax_number": "918-258-6446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTENNIAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "CHILTON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-280-5634"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100728970A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma City Clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.