Organization Active NPI

Halstead Monitoring LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Oklahoma City, OK
National Provider Identifier
1629457387
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
HALSTEAD MONITORING LLC
Practice address
2226 Shadowlake Dr
Oklahoma City, OK 73159-7440
Phone
(405) 622-3827
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Justin Boman
Title
Manager
Phone
(405) 622-3827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

2226 Shadowlake Dr
Oklahoma City, OK 73159-7440

Mailing address

PO Box 890161
Oklahoma City, OK 73189-0161

National Provider Directory

National Provider Directory

Locations

2226 Shadowlake Dr
Oklahoma City, OK 73159
Phone (405) 622-3827

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1629457387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890161",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731890161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 SHADOWLAKE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597440",
            "telephone_number": "405-622-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALSTEAD MONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "BOMAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-622-3827"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 27, 2015; 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.