Organization Active NPI

Oklahoma Sleep Institute Clinic - South Okc

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1699044206
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0058479 Issued in OK
Legal business name
OKLAHOMA SLEEP INSTITUTE CLINIC - SOUTH OKC
Practice address
8901 S Santa Fe Ave
Suite L
Oklahoma City, OK 73139-8413
Phone
(405) 606-2727
Fax
(405) 606-7040
NPI assigned
Dec 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Mike Gold
Title
Ceo
Phone
(405) 606-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X R0058479 OK Primary

Addresses

Primary practice location

8901 S Santa Fe Ave
Suite L
Oklahoma City, OK 73139-8413

Mailing address

14000 N Portland Ave
Suite 201
Oklahoma City, OK 73134-4003
Phone (405) 606-2727

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

14000 N Portland Ave
Ste 201
Oklahoma City, OK 73134

Practitioners & affiliated clinicians

Practitioners 2

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": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1699044206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 N PORTLAND AVE",
            "address_2": "SUITE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344003",
            "telephone_number": "405-606-2727",
            "fax_number": "405-606-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 S SANTA FE AVE",
            "address_2": "SUITE L",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398413",
            "telephone_number": "405-606-2727",
            "fax_number": "405-606-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA SLEEP INSTITUTE CLINIC - SOUTH OKC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-606-2727"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0058479",
            "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 Mar 5, 2012; 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.