Beauty Thru Health Dermatology, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

12980 Issued in OK

Legal business name

BEAUTY THRU HEALTH DERMATOLOGY, P.C.

Practice address

1211 N Shartel Ave Ste 407
Oklahoma City, OK 73103-2425

Phone

(405) 278-7911

Fax

(405) 278-7925

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clarence Lapierce Wiley Sr., M.D.

Title

President

Phone

(405) 278-7911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1245447218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2074",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727452074",
            "telephone_number": "405-278-7911",
            "fax_number": "405-278-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 407",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032425",
            "telephone_number": "405-278-7911",
            "fax_number": "405-278-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY THRU HEALTH DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "LAPIERCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-278-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "12980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "300522112",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Jordan Beauclair, SLP-A
• Carissa Villaflor Beaudreau, OD
• Shantel Ayesha Beaupierre
• Joshua Andrew Beauregard
• Beautifully Connected Pregnancy and Wellness
• Breanna Beaver
• Eric Beaver, M.D.
• Jennifer Beaver
• Sydney Beaver
• Brook Beavers, M.ED., LPC

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.