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NPI 1104178904, an organization in BETHANY, OK 73008.

NPI
1104178904
Entity type
Organization (type 2)
Status
Active
Practice location
BETHANY, OK 73008
Enumerated
2012-10-04
Last updated
2012-10-04
Request
curl https://api.healthcare.dev/v1/providers/1104178904 \
  -H "Authorization: Bearer $HDEV_API_KEY"

NPPES

Taxonomy codes

  • 251S00000X Primary
  • 251B00000X

Codes from the Health Care Provider Taxonomy code set; their names belong to the NUCC and aren't shown here.

Official record

The CMS NPI Registry is the official source for this NPI: NPI 1104178904 in the NPI Registry.

Use it

Look up 1104178904 from code or an agent

curl
curl https://api.healthcare.dev/v1/providers/1104178904 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up NPI 1104178904. Tell me the provider's name, whether it is an individual or an organization, whether the NPI is active, its taxonomy codes and its practice city and state.

Source: CMS NPPES file, release 2026-11. Public (FOIA-disclosable). Registry data as CMS publishes it, not a verification of credentials, licensure or enrollment.