Organization Active NPI

Mam Massage & Spa LLC

  • Massage Therapist
  • Oklahoma City, OK
National Provider Identifier
1629880653
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MAM MASSAGE & SPA LLC
Practice address
9212 N Rockwell Ave Ste 103
Oklahoma City, OK 73132-1537
Phone
(405) 200-5240
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Ying Jiang, LMT, MMPNPI 1184436115
Title
Owner
Phone
(405) 200-5240

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
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

9212 N Rockwell Ave Ste 103
Oklahoma City, OK 73132-1537

Mailing address

1901 Honeysuckle LN
Midwest City, OK 73130-7042
Phone (405) 200-5240

National Provider Directory

National Provider Directory

Locations

9212 N Rockwell Ave
Ste 103
Oklahoma City, OK 73132
Phone (405) 200-5240

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": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1629880653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HONEYSUCKLE LN",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731307042",
            "telephone_number": "405-200-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 N ROCKWELL AVE STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731321537",
            "telephone_number": "405-200-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAM MASSAGE & SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "YING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-200-5240",
        "authorized_official_credential": "LMT, MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "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 Jan 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.