Active NPI
Rebecca J Daniels, M.D.
- Family Medicine Physician
- Edmond, OK
National Provider Identifier
1407910623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23031
- Practice address
- 200 N Bryant Ave
Edmond, OK 73034-6273 - Phone
- (405) 330-7000
- NPI assigned
- Dec 21, 2006
- Last updated
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23031 | OK | Primary |
Addresses
Primary practice location
200 N Bryant Ave
Edmond, OK 73034-6273
Mailing address
200 N Bryant Ave
Edmond, OK 73034-6273
Phone (405) 330-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100728970A | Medicaid | OK | |
| OK700618 | Other | OK | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23031 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Clinic PA | Past | Accepting new patients | |
| Centennial Health, PC | Family Medicine | Past | Accepting new patients |
| National Family Medical Associates, LLC | Family Medicine | Past | Accepting new patients |
| Premise Health of Oklahoma Medical PC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Oklahoma City Clinic, PC
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1376585034
-
dba VIPcare
- Primary Care Clinic/Center
- Tulsa, OK
- NPI 1477287720
Family Medicine
-
dba the Doc Powered by Premise Health
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1902475957
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1154341931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1407910623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346273",
"telephone_number": "405-330-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346273",
"telephone_number": "405-330-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "REBECCA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "23031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100728970A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "OK700618",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.