Miraworx of Okc 1 LLC
NPI 1053641803 · Addiction Medicine (Family Medicine) Physician · Oklahoma City, OK
Miraworx of Okc 1 LLC is a Addiction Medicine (Family Medicine) Physician organization in Oklahoma City, OK (NPI 1053641803).
Provider details
- NPI number
- 1053641803
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carolyn Davies, Consultant(918) 286-7347
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-12-29
- Last updated
- 2009-12-29
Frequently asked questions
- What is Miraworx of Okc 1 LLC's NPI number?
- Miraworx of Okc 1 LLC's National Provider Identifier (NPI) is 1053641803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miraworx of Okc 1 LLC?
- Miraworx of Okc 1 LLC is classified in the NPPES registry as Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Miraworx of Okc 1 LLC located?
- Miraworx of Okc 1 LLC's practice location on file with NPPES is 10400 Vineyard Blvd Apt a, Oklahoma City, OK 73120-3830.
- What is Miraworx of Okc 1 LLC's phone number?
- The practice phone number listed in the NPPES registry for Miraworx of Okc 1 LLC is (405) 230-1102.
- Who is the authorized official for Miraworx of Okc 1 LLC?
- The authorized official listed on Miraworx of Okc 1 LLC's NPPES record is Carolyn Davies, Consultant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miraworx of Okc 1 LLC's NPI active?
- Yes — Miraworx of Okc 1 LLC's NPI (1053641803) is active in the NPPES registry as of the last update on 2009-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.