Shadfar Facial Plastic Surgery LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

SHADFAR FACIAL PLASTIC SURGERY LLC

Practice address

4509 Integris Pkwy Ste 350
Edmond, OK 73034-8696

Phone

(405) 534-4358

Fax

(405) 657-3896

NPI assigned

Jul 11, 2025

Last updated

Jul 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Shadfar, MDNPI 1710148283

Title

Manager

Phone

(405) 834-3275

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Shadfar, MD

  • Facial Plastic Surgery Physician
  • Oklahoma City, OK
  • NPI 1710148283
  NPD Authorized official

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1396636031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NATURE LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 INTEGRIS PKWY STE 350",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348696",
            "telephone_number": "405-534-4358",
            "fax_number": "405-657-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADFAR FACIAL PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "SHADFAR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-834-3275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Sexton
• Gary Seymour, NP
• SFC Chiro Management LLC (Schuck family Chiropractic)
• Ali R Shabani, RPH
• Joshy Shabu
• Stanley Shadid, MD
• Emma Shady
• George Fredrick Shafer Jr.
• Kanan Vinay Shah, MD
• Sandeep N Shah, MD

• Otolaryngology/Facial Plastic Surgery Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.