MIRAWORX OF OKC 1 LLC – Addiction Medicine (Family Medicine) Physician, NPI 1053641803

MIRAWORX OF OKC 1 LLC is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Addiction Medicine (Family Medicine) Physician. The NPI Number for MIRAWORX OF OKC 1 LLC is 1053641803

Main info

Organization
Name
MIRAWORX OF OKC 1 LLC
NPI
1053641803
Phone
(405) 230-1102
Address
10400 VINEYARD BLVD APT A
Authorized Official
MRS. CAROLYN CUMMINS DAVIES CONSULTANT CPA
Enumeration Date
29 December 2009
Last Update Date
29 December 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

Provider Addresses for MIRAWORX OF OKC 1 LLC

  • 10400 VINEYARD BLVD APT A

    OKLAHOMA CITY, OK 731203830

    Phone: (405) 230-1102

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73120)

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Reviews

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Frequently asked questions

Does MIRAWORX OF OKC 1 LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MIRAWORX OF OKC 1 LLC uses 1053641803.
Can I rely on MIRAWORX OF OKC 1 LLC being an active provider?
As of the registry snapshot, MIRAWORX OF OKC 1 LLC is marked active.
What taxonomy line describes MIRAWORX OF OKC 1 LLC?
For research purposes, treat MIRAWORX OF OKC 1 LLC as Addiction Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MIRAWORX OF OKC 1 LLC on a map?
Expect Oklahoma City, Oklahoma as a primary anchor for MIRAWORX OF OKC 1 LLC unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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