OKLAHOMA RESTORATIVE
NPI 1366217192
Clinic/Center - Health Service in Edmond, OK

Active since November 21, 2023
1943 W 33RD ST STE 100, EDMOND, OK 73013(405) 906-3345 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2024, Nov 21, 2023 (2 updates tracked since 2023).

  • Organization
  • Clinic/Center
  • Health Service

About OKLAHOMA RESTORATIVE

This page provides the complete NPI Profile along with additional information for Oklahoma Restorative, a provider established in Edmond, Oklahoma operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1366217192 assigned on November 2023. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Oklahoma Restorative. The authorized official of this NPI record is Melinda Valls Mackey Aprn- Cnp (Owner)

NPI
1366217192 Verify this NPI
Provider Legal Name
WOMENS HEALTHCARE SERVICES INCORPORATED
Other Organization Name
OKLAHOMA RESTORATIVE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1943 W 33RD ST STE 100 EDMOND, OK 73013
Location Phone
(405) 906-3345
Mailing Address
1943 W 33RD ST STE 100 EDMOND, OK 73013
Mailing Phone
(405) 906-3345
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2023
Last Update Date
04-09-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MELINDA VALLS MACKEY APRN- CNP

Authorized Official Title
OWNER
Authorized Official Phone
(405) 501-4245

Reviews for OKLAHOMA RESTORATIVE

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center
1943 W 33RD ST STE 100
EDMOND, OK 73013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366217192, enumerated as an "organization" on November 21, 2023.

The provider is located at 1943 W 33RD ST STE 100 EDMOND, OK 73013 and the phone number is (405) 906-3345.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.