Organization Active NPI

Theras LLC

Doing business as Affordable Family Medical

  • Primary Care Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1720817786
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THERAS LLC
Doing business as
Affordable Family Medical
Practice address
3421 SW 104TH St Ste 5
Oklahoma City, OK 73159-7065
Phone
(405) 237-3383
NPI assigned
Jul 29, 2024
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dr. Ryan H. Bui, DNPNPI 1740955665
Title
Ceo
Phone
(405) 237-3383

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
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

3421 SW 104TH St Ste 5
Oklahoma City, OK 73159-7065

Mailing address

3421 SW 104TH St Ste 5
Oklahoma City, OK 73159-7065

Other names 1

  • Affordable Family Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903004175 OK Part B Supplier - Clinic/Group Practice 4385183466 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2312898Theras, LLC3421 SW 104TH St, Ste 5, Oklahoma City, OK 73159Provider-performed microscopyOct 20, 2026

National Provider Directory

National Provider Directory

Locations

3421 SW 104th St
Ste 5
Oklahoma City, OK 73159
Phone (405) 237-3383

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1720817786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 SW 104TH ST STE 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 SW 104TH ST STE 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597065",
            "telephone_number": "405-237-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-237-3383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Family Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affordable Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.