Organization Active NPI

Smart Sinus Ok, LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1366814121
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
03612239 Issued in IL
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

Updated by the provider on Feb 15, 2017

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)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0602X
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.