Revive Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

REVIVE MEDICAL LLC

Practice address

4215 N Classen Blvd Ste 103
Oklahoma City, OK 73118

Phone

(951) 440-1652

NPI assigned

Oct 5, 2017

Last updated

Aug 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin BrownNPI 1700426467

Title

Owner

Phone

(405) 673-7856

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Kevin Michael Brown, DC

  • Chiropractor
  • Hemet, CA
  • NPI 1700426467

  Single Specialty

  NPD (past) Authorized official
• Mahla Mohsenzadeh

  • Chiropractor
  • Nichols Hills, OK
  • NPI 1760009229
  NPD (past)

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1528578499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 N CLASSEN BLVD STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182431",
            "telephone_number": "405-673-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 N CLASSEN BLVD STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73118",
            "telephone_number": "951-440-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-673-7856"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revive DME
• Revive Health of Oklahoma LLC (Revive Health Of Oklahoma)
• Revive Health Services
• Revive Hormone Clinic PLLC
• Revive Infusion
• Revive Medical Urgent Care LLC
• Revive Performance, Inc.
• Revive Therapy Plus Wellness
• Darnell Rex, MS
• Stephanie Rex

• General Practice Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.