Active NPI
Mustang Foot & Ankle Clinic, LLC
- Foot & Ankle Surgery Podiatrist
- Woodward, OK
National Provider Identifier
1205747029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- MUSTANG FOOT & ANKLE CLINIC, LLC
- Practice address
- 1715 Main St
Woodward, OK 73801-2938 - Phone
- (405) 376-1115
- NPI assigned
- Sep 14, 2026
- Organization subpart
- Yes
- Parent organization
- MUSTANG FOOT & ANKLE CLINIC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Carson, DPM
- Title
- Owner
- Phone
- (405) 326-2660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
1715 Main St
Woodward, OK 73801-2938
Mailing address
551 N Mustang Rd
Mustang, OK 73064-7002
Phone (405) 376-1115
National Provider Directory
National Provider Directory- Tax ID family
- Mustang Foot Ankle Clinic LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Edmond, OK
- NPI 1124939947
-
dba Ankle and Foot clinics
- Foot & Ankle Surgery Podiatrist
- Mustang, OK
- NPI 1609611623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1205747029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 N MUSTANG RD",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730647002",
"telephone_number": "405-376-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 MAIN ST",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738012938",
"telephone_number": "405-376-1115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSTANG FOOT & ANKLE CLINIC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MUSTANG FOOT & ANKLE CLINIC, LLC",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-13",
"status": "A",
"authorized_official_last_name": "CARSON",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-326-2660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodward, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.