=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205779345
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHANCE AIRHART APRN-CRNA PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2026
-----------------------------------------------------
Last Update Date | 04/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8435 COYOTE RDG
-----------------------------------------------------
City | ARCADIA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73007-4501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-531-6300
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8435 COYOTE RDG
-----------------------------------------------------
City | ARCADIA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73007-4501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-531-6300
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT
-----------------------------------------------------
Name | MR. JOEL CHANCE AIRHART
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 405-531-6300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------