Individual provider Active NPI

Perry M. Santos, M.D.

  • Otolaryngology Physician
  • Oklahoma City, OK
National Provider Identifier
1053418913
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
20098 Issued in OK
Practice address
3435 NW 56TH St
BLDG a, Suite 412
Oklahoma City, OK 73112-4448
Phone
(405) 945-4325
Fax
(405) 945-4327
NPI assigned
Sep 20, 2006
Last updated
May 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 20098 OK Primary

Addresses

Primary practice location

3435 NW 56TH St
BLDG a, Suite 412
Oklahoma City, OK 73112-4448

Mailing address

3435 NW 56TH St
BLDG a, Suite 412
Oklahoma City, OK 73112-4448
Phone (405) 945-4325

Other identifiers 1

IdentifierTypeStateIssuer
100214430BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2014 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1053418913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH ST",
            "address_2": "BLDG A, SUITE 412",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124448",
            "telephone_number": "405-945-4325",
            "fax_number": "405-945-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH ST",
            "address_2": "BLDG A, SUITE 412",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124448",
            "telephone_number": "405-945-4325",
            "fax_number": "405-945-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "PERRY",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "20098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100214430B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.