Active NPI
Benjamin Zachary Ototivo, B.A.
- Counselor
- Norman, OK
National Provider Identifier
1982978615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 103 Gibbs Dr
Norman, OK 73072 - Phone
- (405) 573-3955
- NPI assigned
- Feb 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
103 Gibbs Dr
Norman, OK 73072
Mailing address
2681 Jefferson St
Apt 622
Norman, OK 73072-5667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1982978615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2681 JEFFERSON ST",
"address_2": "APT 622",
"city": "NORMAN",
"state": "OK",
"postal_code": "730725667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GIBBS DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "73072",
"telephone_number": "405-573-3955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTOTIVO",
"first_name": "BENJAMIN",
"middle_name": "ZACHARY",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.