NPIMap

Organization Active NPI

Care for Change

  • Preferred Provider Organization
  • Oklahoma City, OK
National Provider Identifier
1821393323
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
101YA0400X Issued in OK
Legal business name
CARE FOR CHANGE
Practice address
3621 N Kelley Ave
Suite 100
Oklahoma City, OK 73111-4520
Phone
(405) 621-5952
Fax
(405) 621-5952
NPI assigned
Jan 14, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Joseph Dismuke
Title
Manager
Phone
(405) 524-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 101YA0400X OK Primary

Addresses

Primary practice location

3621 N Kelley Ave
Suite 100
Oklahoma City, OK 73111-4520

Mailing address

3621 N Kelley Ave
Suite 100
Oklahoma City, OK 73111-4520
Phone (405) 621-5952

National Provider Directory

National Provider Directory
Tax ID family
Care for Change2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1821393323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 N KELLEY AVE",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731114520",
            "telephone_number": "405-621-5952",
            "fax_number": "405-621-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 N KELLEY AVE",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731114520",
            "telephone_number": "405-621-5952",
            "fax_number": "405-621-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "DISMUKE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-524-5525"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OK",
            "license": "101YA0400X",
            "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 Jan 18, 2011; 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.