Avant Diabettes Management LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AVANT DIABETTES MANAGEMENT LLC

Practice address

2225 SW 59TH St
Oklahoma City, OK 73119-7026

Phone

(800) 420-1481

Fax

(800) 361-4480

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Williams J Dragoo

Title

Chief Executive Officer

Phone

(800) 420-1481

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1487057345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 SW 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197026",
            "telephone_number": "800-420-1481",
            "fax_number": "800-361-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 SW 59TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197026",
            "telephone_number": "800-420-1481",
            "fax_number": "800-361-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANT DIABETTES MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "DRAGOO",
        "authorized_official_first_name": "WILLIAMS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "800-420-1481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avalon Corrections
• Carmela Avalos
• Katelyn Estela Avalos
• Maria De Lourdes Avalos, LPC-C
• Roberto Antonio Avalos
• Elizabeth Mary Avant, MA
• Nicole Avant, PHARM.D.
• Alexis Avery, LCSW
• Paula S. Avery, MA, LMFT
• Teresa L Avery, CRNFA

• Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.