Organization Active NPI

Total Eclipse DMH PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Broken Arrow, OK
National Provider Identifier
1447972864
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
TOTAL ECLIPSE DMH PLLC
Practice address
817 S Elm PL Ste C
Broken Arrow, OK 74012-5369
Phone
(918) 940-4734
Fax
(918) 940-4737
NPI assigned
Sep 13, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Dr. Dustin Oleath Hayes, DONPI 1184981144
Title
Physician
Phone
(469) 427-9708

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
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU Primary

Addresses

Primary practice location

817 S Elm PL Ste C
Broken Arrow, OK 74012-5369

Mailing address

817 S Elm PL Ste C
Broken Arrow, OK 74012-5369
Phone (918) 940-4734

National Provider Directory

National Provider Directory

Locations

817 S Elm Pl
Ste C
Broken Arrow, OK 74012
Phone (918) 258-6900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1447972864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S ELM PL STE C",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125369",
            "telephone_number": "918-940-4734",
            "fax_number": "918-940-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S ELM PL STE C",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125369",
            "telephone_number": "918-940-4734",
            "fax_number": "918-940-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ECLIPSE DMH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "OLEATH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "469-427-9708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.