Active NPI
Ken James Greenshields
- Social Worker
- Oklahoma City, OK
National Provider Identifier
1447755228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4300 N Lincoln Blvd
Oklahoma City, OK 73105-5107 - Phone
- (405) 424-7711
- NPI assigned
- Mar 26, 2018
- Last updated
- Sep 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
4300 N Lincoln Blvd
Oklahoma City, OK 73105-5107
Mailing address
1908 NW 37TH St
Oklahoma City, OK 73118-2811
Phone (405) 802-2432
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1447755228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 NW 37TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731182811",
"telephone_number": "405-802-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N LINCOLN BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731055107",
"telephone_number": "405-424-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENSHIELDS",
"first_name": "KEN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"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 24, 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.