NPIMap

Organization Active NPI

Recipe for Regeneration

  • Integrative Medicine Physician
  • Tulsa, OK
National Provider Identifier
1649986514
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
RECIPE FOR REGENERATION
Practice address
10106 E 79TH St Ste B
Tulsa, OK 74133-4555
Phone
(918) 770-0248
Fax
(918) 770-0250
NPI assigned
Jan 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
William Lewis, DC
Title
Owner
Phone
(918) 260-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X Primary

Addresses

Primary practice location

10106 E 79TH St Ste B
Tulsa, OK 74133-4555

Mailing address

10106 E 79TH St Ste B
Tulsa, OK 74133-4555
Phone (918) 770-0248

Other names 1

  • NeuroGen Medical Doing business as

National Provider Directory

National Provider Directory

Locations

10106 E 79th St
Ste B
Tulsa, OK 74133
Phone (918) 770-0248

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": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1649986514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 E 79TH ST STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334555",
            "telephone_number": "918-770-0248",
            "fax_number": "918-770-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 E 79TH ST STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334555",
            "telephone_number": "918-770-0248",
            "fax_number": "918-770-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECIPE FOR REGENERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-260-4567",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroGen Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.