Organization Active NPI

Gentle Care Medical Clinic

  • Primary Care Clinic/Center
  • Tulsa, OK
National Provider Identifier
1407552516
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GENTLE CARE MEDICAL CLINIC
Practice address
2526 W Edison St
Tulsa, OK 74127-6128
Phone
(918) 764-9220
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Laketa Smith-Halpine, D.O.NPI 1295016343
Title
Physician
Phone
(918) 764-9220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2526 W Edison St
Tulsa, OK 74127-6128

Mailing address

2526 W Edison St
Tulsa, OK 74127-6128

Other identifiers 1

IdentifierTypeStateIssuer
200401150BMedicaidOK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2065699Gentle Care Medical Clinic2526 W Edison St, Tulsa, OK 74127Certificate of waiverMay 6, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1407552516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 W EDISON ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741276128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 W EDISON ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741276128",
            "telephone_number": "918-764-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "SMITH-HALPINE",
        "authorized_official_first_name": "LAKETA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-764-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200401150B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.