Avalon Park Pediatrics

Avalon Park Pediatrics is a healthcare organization registered as Pediatrics Physician in Tulsa, OK, holding Type 2 (organization) NPI 1720204761 since 2007. The authorized official on file is David Raley, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1720204761
Entity type	Organization (Type 2)
Legal business name	Avalon Park Pediatrics
Practice address	6528 E 101ST ST, SUITE D-1, PMB 419, Tulsa, OK, 74133
Phone	9183987170
Fax	9183987199
Enumeration date	2007-04-18
Last updated in NPPES	2020-08-22

Authorized official

Name	David Raley
Title	Owner
Phone	9183987170

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
208000000X	Pediatrics Physician	Primary	20582	OK

Copy-ready billing details

Provider: Avalon Park Pediatrics
NPI: 1720204761
Taxonomy: 208000000X (Pediatrics Physician)
Address: 6528 E 101ST ST, SUITE D-1, PMB 419, Tulsa, OK, 74133

Providers at this address

NPI	Name	Type	Specialty	Location
1609853175	John Gearhart	Individual	Family Medicine Physician	Tulsa, OK
1659316438	David Raley	Individual	Pediatrics Physician	Tulsa, OK
1992736250	Southcrest Medical Group LLC	Organization	General Practice Physician	Tulsa, OK

Verify this record

Cross-check NPI 1720204761 against the authoritative CMS record: view Avalon Park Pediatrics on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Avalon Park Pediatrics located?

The practice location on file with NPPES is in Tulsa, OK.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.