Organization Active NPI

Stride Podiatric Health, LLC

  • Podiatrist
  • Oklahoma City, OK
National Provider Identifier
1780368399
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
STRIDE PODIATRIC HEALTH, LLC
Practice address
4220 N Classen Blvd Ste a
Oklahoma City, OK 73118-2434
Phone
(405) 768-5749
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Michelle Clark
Title
Coo
Phone
(405) 768-5749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

4220 N Classen Blvd Ste a
Oklahoma City, OK 73118-2434

Mailing address

4220 N Classen Blvd Ste a
Oklahoma City, OK 73118-2434
Phone (405) 768-5749

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1780368399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 N CLASSEN BLVD STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182434",
            "telephone_number": "405-768-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 N CLASSEN BLVD STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182434",
            "telephone_number": "405-768-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE PODIATRIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "405-768-5749"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "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 Feb 18, 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.