Organization Active NPI

Peace Joy Clinic PLLC

  • Primary Care Clinic/Center
  • Bixby, OK
National Provider Identifier
1609460716
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PEACE JOY CLINIC PLLC
Practice address
8214 E 111TH PL S Unit 100
Bixby, OK 74008-2452
Phone
(918) 928-5597
Fax
(918) 228-0156
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Linh Tran Stephens, DONPI 1801107693
Title
Manager
Phone
(918) 928-5597

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 Primary

Addresses

Primary practice location

8214 E 111TH PL S Unit 100
Bixby, OK 74008-2452

Mailing address

8214 E 111TH PL S Unit 100
Bixby, OK 74008-2452
Phone (918) 928-5597

Other names 1

  • Peace Joy Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

8214 E 111th Pl S
#100
Bixby, OK 74008
Phone (918) 928-5597

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1609460716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 E 111TH PL S UNIT 100",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082452",
            "telephone_number": "918-928-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 E 111TH PL S UNIT 100",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082452",
            "telephone_number": "918-928-5597",
            "fax_number": "918-228-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE JOY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "LINH",
        "authorized_official_middle_name": "TRAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-928-5597",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace Joy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bixby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.