Active NPI
David G Wade DPM
- Podiatrist
- Oklahoma City, OK
National Provider Identifier
1235235094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 120
- Legal business name
- DAVID G WADE DPM
- Practice address
- 5401 N Portland Ave Ste 390
Oklahoma City, OK 73112-2082 - Phone
- (405) 943-6200
- NPI assigned
- Sep 16, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shannon Rawson
- Title
- Manager
- Phone
- (405) 329-8545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 120 | OK | Primary |
Addresses
Primary practice location
5401 N Portland Ave Ste 390
Oklahoma City, OK 73112-2082
Mailing address
PO Box 1998
Oklahoma City, OK 73101-1998
Phone (405) 943-6200
Other names 1
- PODIATRIC ASSOCIATES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235235094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1998",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731011998",
"telephone_number": "405-943-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 N PORTLAND AVE STE 390",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122082",
"telephone_number": "405-943-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID G WADE DPM",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAWSON",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "405-329-8545",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OK",
"license": "120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PODIATRIC ASSOCIATES",
"code": "5",
"type": "Other Name"
}
]
}
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 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.