NPIMap

Organization Active NPI

Nuveen Cosmetic & Reconstructive Surgery, P.C.

  • Plastic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1265617443
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
23411 Issued in OK
Legal business name
NUVEEN COSMETIC & RECONSTRUCTIVE SURGERY, P.C.
Practice address
2100 NW 63Rd St
Oklahoma City, OK 73116-5111
Phone
(405) 842-6677
Fax
(405) 842-6678
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dr. Erik Jon Nuveen, M.D., D.M.D.
Title
President
Phone
(405) 842-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 23411 OK Primary

Addresses

Primary practice location

2100 NW 63Rd St
Oklahoma City, OK 73116-5111

Mailing address

2100 NW 63Rd St
Oklahoma City, OK 73116-5111
Phone (405) 842-6677

Other identifiers 1

IdentifierTypeStateIssuer
I20492OtherOKUPIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1265617443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NW 63RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731165111",
            "telephone_number": "405-842-6677",
            "fax_number": "405-842-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NW 63RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731165111",
            "telephone_number": "405-842-6677",
            "fax_number": "405-842-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVEEN COSMETIC & RECONSTRUCTIVE SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "NUVEEN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-842-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OK",
            "license": "23411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I20492",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 7, 2008; 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.