Active NPI
Vinson Neal Orr
- Funeral Director
- Frederick, OK
National Provider Identifier
1609107135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Funeral Director
- License
- 2514FD 2657EM
- Practice address
- 1500 N Main St
Frederick, OK 73542-1421 - Phone
- (580) 335-3320
- Fax
- (580) 335-7443
- NPI assigned
- Jan 22, 2010
- Last updated
- Jan 22, 2010
- 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 |
|---|---|---|---|---|
| Funeral Director | 176P00000X | 2514FD 2657EM | OK | Primary |
Addresses
Primary practice location
1500 N Main St
Frederick, OK 73542-1421
Mailing address
1104 Rebecca Rd
Frederick, OK 73542-2426
Phone (580) 335-1791
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 |
|---|---|---|---|
| 2514FD 2657EM | OK | MD | Funeral Director |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1609107135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 REBECCA RD",
"city": "FREDERICK",
"state": "OK",
"postal_code": "735422426",
"telephone_number": "580-335-1791",
"fax_number": "580-335-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N MAIN ST",
"city": "FREDERICK",
"state": "OK",
"postal_code": "735421421",
"telephone_number": "580-335-3320",
"fax_number": "580-335-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORR",
"first_name": "VINSON",
"middle_name": "NEAL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "176P00000X",
"taxonomy_group": "",
"desc": "Funeral Director",
"state": "OK",
"license": "2514FD 2657EM",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.