Active NPI
Smart Sinus Ok, LLC
- Otolaryngology/Facial Plastic Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1366814121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 03612239
- Legal business name
- SMART SINUS OK, LLC
- Practice address
- 13908 Quailbrook Dr
Quailbrook Buldg C
Oklahoma City, OK 73134-1718 - Phone
- (405) 479-8625
- Fax
- (405) 479-8627
- NPI assigned
- Oct 20, 2015
- 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
- Bose Oshin
- Title
- Billing Manager
- Phone
- (847) 278-1885
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | |||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 03612239 | IL | Primary |
Addresses
Primary practice location
13908 Quailbrook Dr
Quailbrook Buldg C
Oklahoma City, OK 73134-1718
Mailing address
13908 Quailbrook Dr
Quailbrook Medical Center BLDG C
Oklahoma City, OK 73134-1718
Phone (405) 479-8625
National Provider Directory
National Provider DirectoryLocations
13908 Quailbrook Dr
Bldg C
Oklahoma City, OK 73134
Phone (405) 449-0276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487116800000",
"number": "1366814121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13908 QUAILBROOK DR",
"address_2": "QUAILBROOK MEDICAL CENTER BLDG C",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341718",
"telephone_number": "405-479-8625",
"fax_number": "405-479-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13908 QUAILBROOK DR",
"address_2": "QUAILBROOK BULDG C",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341718",
"telephone_number": "405-479-8625",
"fax_number": "405-479-8627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMART SINUS OK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-20",
"last_updated": "2017-02-15",
"status": "A",
"authorized_official_last_name": "OSHIN",
"authorized_official_first_name": "BOSE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "847-278-1885"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "IL",
"license": "03612239",
"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 Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.