NPI Code Detail JSON Logo

1831595032 NPI number — YOUR BEST LIFE LLC

NPI Number: 1831595032
Health Care Provider/Practitioner: YOUR BEST LIFE LLC

Information about “1831595032” NPI (YOUR BEST LIFE LLC) exists in 1831595032 in HTML format HTML  |  1831595032 in plain Text format TXT  |  1831595032 in PDF (Portable Document Format) PDF  |  1831595032 in an XML format XML  formats.

NPI Number : 1831595032 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831595032",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "YOUR BEST LIFE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8010 S 101ST EAST AVE",
    "SecondLineMailingAddress": "SUITE 200",
    "MailingAddressCityName": "TULSA",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74133-4562",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-893-1440",
    "MailingAddressFaxNumber": "918-893-1481",
    "FirstLinePracticeLocationAddress": "8010 S 101ST EAST AVE",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "TULSA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74133-4562",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-893-1440",
    "PracticeLocationAddressFaxNumber": "918-893-1481",
    "EnumerationDate": "11/15/2014",
    "LastUpdateDate": "11/14/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GLIDEWELL",
    "AuthorizedOfficialFirstName": "FRED",
    "AuthorizedOfficialMiddleName": "CARTER",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "918-893-1440",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM2500X",
          "TaxonomyName": "Medical Specialty Clinic/Center",
          "LicenseNumber": "28027",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "28027",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.