OrganizationActive
Cherry Street Pain Clinic LLC
NPI 1124628656 · Pain Clinic/Center · Tulsa, OK
Provider details
- NPI number
- 1124628656
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vernon Smith, Owner(918) 836-6454
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1810 E 15th St Ste B
Tulsa, OK 74104-4611
Phone: (918) 836-6454
Street-level locationGet directions
Mailing address
1810 E 15th St Ste B
Tulsa, OK 74104-4611
Registry dates
- Enumerated
- 2020-10-26
- Last updated
- 2020-10-26
- Certified
- 2020-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.