OrganizationActive
Prairie Gardens Medical LLC
NPI 1669080891 · General Practice Physician · Oklahoma City, OK
Provider details
- NPI number
- 1669080891
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dianne Tupper, Managing Partner(405) 742-8898
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 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
1213 Nw 122nd St Ste 401
Oklahoma City, OK 73114-7000
Phone: (405) 962-8123
Fax: (405) 962-8125
Street-level locationGet directions
Mailing address
175 Lary Ln
Guthrie, OK 73044-6542
Registry dates
- Enumerated
- 2020-07-14
- Last updated
- 2020-09-16
- Certified
- 2020-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.