Moffett Public School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MOFFETT PUBLIC SCHOOL

Practice address

701 Belt Ave.
Moffett, OK 74946-0180

Phone

(918) 875-3668

Fax

(918) 875-3201

NPI assigned

Nov 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John D. Gordon

Title

Superintendent

Phone

(918) 875-3668

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376616052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BELT AVE.",
            "address_2": "P.O. BOX 180",
            "city": "MOFFETT",
            "state": "OK",
            "postal_code": "749460180",
            "telephone_number": "918-875-3668",
            "fax_number": "918-875-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BELT AVE.",
            "city": "MOFFETT",
            "state": "OK",
            "postal_code": "749460180",
            "telephone_number": "918-875-3668",
            "fax_number": "918-875-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOFFETT PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "918-875-3668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.