NPIMap

Organization Active NPI

LDS Spine PLLC

  • Vascular Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1316251507
Registry record updated Jul 30, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
21272 Issued in OK
Legal business name
LDS SPINE PLLC
Practice address
4050 W Memorial Rd
Third Floor
Oklahoma City, OK 73120-8382
Phone
(405) 650-8607
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Dr. Lenny Stubbs, M.D.
Title
Physician/ Owner
Phone
(405) 650-8607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 21272 OK Primary

Addresses

Primary practice location

4050 W Memorial Rd
Third Floor
Oklahoma City, OK 73120-8382

Mailing address

4050 W Memorial Rd
Third Floor
Oklahoma City, OK 73120-8382
Phone (405) 650-8607

National Provider Directory

National Provider Directory

Locations

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1316251507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD",
            "address_2": "THIRD FLOOR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-650-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD",
            "address_2": "THIRD FLOOR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-650-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "LENNY",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "405-650-8607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "21272",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 30, 2010; 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.