Organization Active NPI

Safespine, LLC

  • Contractor
  • Oklahoma City, OK
National Provider Identifier
1992992507
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
SAFESPINE, LLC
Practice address
8601 S Western Ave
Room 108
Oklahoma City, OK 73139-9200
Phone
(405) 601-5979
Fax
(405) 601-2826
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Charles Dewayne Poor, MBR
Title
President
Phone
(405) 601-5979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X OK Primary

Addresses

Primary practice location

8601 S Western Ave
Room 108
Oklahoma City, OK 73139-9200

Mailing address

8601 S Western Ave
Room 108
Oklahoma City, OK 73139-9200
Phone (405) 601-5979

National Provider Directory

National Provider Directory

Locations

8601 S Western Ave
Rm 108
Oklahoma City, OK 73139
Phone (405) 601-5979

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1992992507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 S WESTERN AVE",
            "address_2": "ROOM 108",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399200",
            "telephone_number": "405-601-5979",
            "fax_number": "405-601-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 S WESTERN AVE",
            "address_2": "ROOM 108",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399200",
            "telephone_number": "405-601-5979",
            "fax_number": "405-601-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFESPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "POOR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-601-5979",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "OK",
            "license": null,
            "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 17, 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.

Verify at the official NPI Registry.