Active NPI
Donald Richardson
- Case Management Agency
- Midwest City, OK
National Provider Identifier
1538566369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 73-1572221
- Practice address
- 7901 NE 10TH St
Midwest City, OK 73110-3600 - Phone
- (405) 733-0771
- NPI assigned
- Nov 21, 2014
- Last updated
- Nov 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 73-1572221 | OK | Primary |
Addresses
Primary practice location
7901 NE 10TH St
Midwest City, OK 73110-3600
Mailing address
7901 NE 10TH St
Midwest City, OK 73110-3600
Phone (405) 733-0771
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73-1572221 | OK | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1538566369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 NE 10TH ST",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731103600",
"telephone_number": "405-733-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 NE 10TH ST",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731103600",
"telephone_number": "405-733-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "DONALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "OK",
"license": "73-1572221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.