Triad Complete Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRIAD COMPLETE CARE, LLC

Practice address

2703 N 14TH St
Ponca City, OK 74601-1738

Phone

(580) 749-7846

NPI assigned

Jan 16, 2025

Organization subpart

No

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

Authorized official

Name

Matthew Bintz

Title

Ceo

Phone

(580) 749-7846

Specialties & licenses 1

Addresses

Other names 1

• Triad Complete Healthcare Doing business as

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1609687771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011738",
            "telephone_number": "580-749-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011738",
            "telephone_number": "580-749-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD COMPLETE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "BINTZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-749-7846"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Complete Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Tillman, M.S.
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• Traditions Health Care of Ponca City, LLC
• Ellen Reeser Trantham, ARNP
• Triad Complete Healthcare Z16 LLC
• Triad Family Chiropractic, LLC
• Triad Health Systems LLC
• Tristone Counseling & Developmental Strategies
• Natalie L Troup

• Family Medicine Physician in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.