Active NPI
New Haven, LLC
- Specialist
- Oklahoma City, OK
National Provider Identifier
1396995197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NEW HAVEN, LLC
- Practice address
- 3115 SW 89TH St
Oklahoma City, OK 73159-7901 - Phone
- (405) 424-5630
- NPI assigned
- Sep 29, 2008
- Last updated
- Sep 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenda Cohrs
- Title
- Business Manager
- Phone
- (405) 598-3688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
3115 SW 89TH St
Oklahoma City, OK 73159-7901
Mailing address
3115 SW 89TH St
Oklahoma City, OK 73159-7901
Phone (405) 424-5630
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222646400000",
"number": "1396995197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 SW 89TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731597901",
"telephone_number": "405-424-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 SW 89TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731597901",
"telephone_number": "405-424-5630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HAVEN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-29",
"status": "A",
"authorized_official_last_name": "COHRS",
"authorized_official_first_name": "GLENDA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "405-598-3688"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.