Active NPI
Cody Madison Sr.
- Counselor
- Oklahoma City, OK
National Provider Identifier
1699014084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 10948 N May Ave Ste B
Oklahoma City, OK 73120-6224 - Phone
- (405) 751-8889
- NPI assigned
- Feb 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
10948 N May Ave Ste B
Oklahoma City, OK 73120-6224
Mailing address
16732 Crest Vly
Edmond, OK 73012-6802
Phone (405) 706-4281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200287120A | Medicaid | OK |
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": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1699014084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16732 CREST VLY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730126802",
"telephone_number": "405-706-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10948 N MAY AVE STE B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731206224",
"telephone_number": "405-751-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "CODY",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-05",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200287120A",
"state": "OK"
}
],
"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 Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.