Individual provider Active NPI

Vinson Neal Orr

  • Funeral Director
  • Frederick, OK
National Provider Identifier
1609107135
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Funeral DirectorTaxonomy code 176P00000X
License
2514FD 2657EM Issued in OK
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2514FD 2657EMOKMDFuneral 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.

Verify at the official NPI Registry.