Organization Active NPI

Dogwood Creek Retirement Center

  • Assisted Living Facility
  • Muskogee, OK
National Provider Identifier
1912122458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL51025102 Issued in OK
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.