Active NPI
John Andrew Maupin Jr., DPM
- Primary Podiatric Medicine Podiatrist
- Oklahoma City, OK
National Provider Identifier
1043496409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- PO 3286
- Practice address
- 705 NW 57TH St
Oklahoma City, OK 73118-5905 - Phone
- (405) 550-0060
- NPI assigned
- Jan 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PO 3286 | FL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO 3286 | FL |
Addresses
Primary practice location
705 NW 57TH St
Oklahoma City, OK 73118-5905
Mailing address
705 NW 57TH St
Oklahoma City, OK 73118-5905
Phone (405) 550-0060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211101000579 | OK | Practitioner - Podiatry | 2769708718 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 3286 | FL | MD | Primary Podiatric Medicine Podiatrist |
| 254 | OK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1043496409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 NW 57TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731185905",
"telephone_number": "405-550-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 NW 57TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731185905",
"telephone_number": "405-550-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUPIN",
"first_name": "JOHN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-16",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "FL",
"license": "PO 3286",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO 3286",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.