Active NPI
Dogwood Creek Retirement Center
- Assisted Living Facility
- Muskogee, OK
National Provider Identifier
1912122458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL51025102
- Legal business name
- DOGWOOD CREEK RETIREMENT CENTER
- Practice address
- 3230 E Shawnee Rd
Muskogee, OK 74403-1813 - Phone
- (918) 683-5100
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim McConnell
- Title
- Administrator
- Phone
- (918) 683-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL51025102 | OK | Primary |
Addresses
Primary practice location
3230 E Shawnee Rd
Muskogee, OK 74403-1813
Mailing address
3230 E Shawnee Rd
Muskogee, OK 74403-1813
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912122458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 E SHAWNEE RD",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744031813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 E SHAWNEE RD",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744031813",
"telephone_number": "918-683-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOGWOOD CREEK RETIREMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCCONNELL",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "918-683-5100"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OK",
"license": "AL51025102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.