NPIMap

Organization Active NPI

Oklahoma Foot and Ankle Associates

  • Podiatrist
  • Moore, OK
National Provider Identifier
1124197645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
185 Issued in OK
Legal business name
OKLAHOMA FOOT AND ANKLE ASSOCIATES
Practice address
520 S Telephone Rd Ste 111
Moore, OK 73160-5424
Phone
(405) 794-6691
Fax
(405) 794-9856
NPI assigned
Nov 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gordon J Bean, DPMNPI 1255334967
Title
Owner
Phone
(405) 794-6691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 185 OK Primary

Addresses

Primary practice location

520 S Telephone Rd Ste 111
Moore, OK 73160-5424

Mailing address

600 W. 15TH Street
Edmond, OK 73013
Phone (405) 340-9251

National Provider Directory

National Provider Directory
Tax ID family
Oklahoma Foot and Ankle Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124197645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W. 15TH STREET",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-340-9251",
            "fax_number": "405-340-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S TELEPHONE RD STE 111",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605424",
            "telephone_number": "405-794-6691",
            "fax_number": "405-794-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA FOOT AND ANKLE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-794-6691",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.