Active NPI
Total Eclipse DMH PLLC
- Addiction Medicine (Psychiatry & Neurology) Physician
- Broken Arrow, OK
National Provider Identifier
1447972864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- 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, 2022
- 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
- Dr. Dustin Oleath Hayes, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Broken Arrow, OK
- NPI 1184981144
-
- Other Technician
- Broken Arrow, OK
- NPI 1164082707
-
- Psychiatry Physician
- Broken Arrow, OK
- NPI 1609933100
-
- Psychiatric/Mental Health Nurse Practitioner
- Tulsa, OK
- NPI 1316590714
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.