Organization Active NPI

Total Primary Care PC

  • Primary Care Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1548788698
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TOTAL PRIMARY CARE PC
Practice address
6301 N Meridian Ave Ste 103
Oklahoma City, OK 73112-1267
Phone
(405) 470-7947
NPI assigned
Sep 8, 2017
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Xiomara J Porras, APRN PMHNP DNPNPI 1245581883
Title
Provider
Phone
(405) 470-7947

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
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

6301 N Meridian Ave Ste 103
Oklahoma City, OK 73112-1267

Mailing address

6301 N Meridian Ave Ste 103
Oklahoma City, OK 73112-1267
Phone (405) 470-7947

Other identifiers 1

IdentifierTypeStateIssuer
200769470AMedicaidOK

Other names 1

  • Total Primary Care P.C Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180301001983 OK Part B Supplier - Clinic/Group Practice 7618238924 Receives reassigned benefits from 2 practitioners
Practice locations: Warr Acres, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2133747Total Primary Care, PC6301 N Meridian Ave, Oklahoma City, OK 73112Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

Locations

6301 N Meridian Ave
Ste 103
Oklahoma City, OK 73112
Phone (405) 470-7947

5850 NW 72nd Pl
Warr Acres, OK 73132
Phone (405) 470-7947

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1548788698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N MERIDIAN AVE STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121267",
            "telephone_number": "405-470-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 N MERIDIAN AVE STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731121267",
            "telephone_number": "405-470-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "XIOMARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "405-470-7947",
        "authorized_official_credential": "APRN PMHNP DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200769470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Primary Care P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Total Primary Care P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.