Active NPI
Med Spa at Enid Live Well
- Endocrinology, Diabetes & Metabolism Physician
- Enid, OK
National Provider Identifier
1902437346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- MED SPA AT ENID LIVE WELL
- Practice address
- 2111 N Van Buren St
Enid, OK 73703-2524 - Phone
- (580) 233-4300
- Fax
- (580) 350-6401
- NPI assigned
- Feb 3, 2020
- Organization subpart
- Yes
- Parent organization
- VIKI WHITE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Viki Sharlain White, DC
- Title
- Ceo
- Phone
- (580) 233-4300
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Dermatopathology Physician | 207ND0900X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary | ||
| Health Service Clinic/Center | 261QH0100X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
2111 N Van Buren St
Enid, OK 73703-2524
Mailing address
2111 N Van Buren St
Enid, OK 73703-2524
Phone (580) 233-4300
Other names 1
- Enid Live Well
National Provider Directory
National Provider Directory- Part of
- Viki Sharlain Resler CH
Locations
2111 N Van Buren St
Enid, OK 73703
Phone (580) 233-0430
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Chiropractor
- Enid, OK
- NPI 1851584197
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Enid, OK
- NPI 1619956554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605052800000",
"number": "1902437346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 N VAN BUREN ST",
"city": "ENID",
"state": "OK",
"postal_code": "737032524",
"telephone_number": "580-233-4300",
"fax_number": "580-350-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 N VAN BUREN ST",
"city": "ENID",
"state": "OK",
"postal_code": "737032524",
"telephone_number": "580-233-4300",
"fax_number": "580-350-6401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED SPA AT ENID LIVE WELL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VIKI WHITE",
"enumeration_date": "2020-02-03",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "VIKI",
"authorized_official_middle_name": "SHARLAIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "580-233-4300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Enid Live Well",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Enid Live Well",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.