Organization Active NPI

David G Wade DPM

  • Podiatrist
  • Oklahoma City, OK
National Provider Identifier
1235235094
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
120 Issued in OK
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, 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
Ms. Shannon Rawson
Title
Manager
Phone
(405) 329-8545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.