Individual provider Active NPI

Douglash Kiprotich

  • Case Manager/Care Coordinator
  • Ardmore, OK
National Provider Identifier
1629861166
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
333 W Main St Ste 290
Ardmore, OK 73401-6330
Phone
(580) 235-1491
NPI assigned
May 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

333 W Main St Ste 290
Ardmore, OK 73401-6330

Mailing address

27 Lake Dr
Ardmore, OK 73401-8422
Phone (469) 728-3580

Other names 1

  • Douglash Kiprotich Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1629861166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LAKE DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734018422",
            "telephone_number": "469-728-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W MAIN ST STE 290",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016330",
            "telephone_number": "580-235-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPROTICH",
        "first_name": "DOUGLASH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLASH",
            "last_name": "KIPROTICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.