Active NPI
Thingal G Masar, FNP-C
- Family Nurse Practitioner
- Lavon, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 207455
- Practice address
- 496 Harding LN
Lavon, TX 75166-1879 - Phone
- (405) 496-6363
- NPI assigned
- Feb 2, 2022
- Last updated
- Feb 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1061915 | TX | |
| Family Nurse Practitioner | 363LF0000X | 207455 | OK | Primary |
Addresses
Primary practice location
496 Harding LN
Lavon, TX 75166-1879
Mailing address
496 Harding LN
Lavon, TX 75166-1879
Other practice location 1
496 Harding Ln
Lavon, TX 75166-1879
Phone (405) 496-6363
Other practice location 2
1800 E Memorial Rd Ste 101
Oklahoma City, OK 73131-1827
Phone (405) 446-5714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201209510A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 N Kickapoo Ave
Suite 116
Shawnee, OK 74804-0007
Phone (405) 551-8103
8121 National Ave
Suite 105
Midwest City, OK 73110-7570
Phone (405) 694-4042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207455 | OK | MD | Family Nurse Practitioner |
| 1061915 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Addiction Wellness Center Ok LLC | Multi-Specialty | Current | Accepting new patients |
| NR Midwest City LLC | Multi-Specialty | Current | Accepting new patients |
| NR Shawnee, LLC | Multi-Specialty | Current | Accepting new patients |
| Derm Institute of West Michigan PLC | Multi-Specialty | Past | Accepting new patients |
Locations
1100 Business Pkwy S
Ste 1
Westminster, MD 21157
3908 N Peniel Ave
Ste 450
Bethany, OK 73008
8121 National Ave
Ste 105
Midwest City, OK 73110
Phone (405) 694-4042
1800 E Memorial Rd
Ste 101
Oklahoma City, OK 73131
Phone (405) 446-5714
3705 NW 63rd St
Ste 101
Oklahoma City, OK 73116
Phone (405) 286-9903
3700 N Kickapoo Ave
Ste 116
Shawnee, OK 74804
Phone (405) 275-6747
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00097
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Nerve Renewal Midwest City
- Physical Medicine & Rehabilitation Physician
- Midwest City, OK
- NPI 1558063784
Multi-Specialty
-
dba Nerve Renewal Shawnee
- Physical Medicine & Rehabilitation Physician
- Shawnee, OK
- NPI 1922861004
Multi-Specialty
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1124719596
Multi-Specialty
-
dba Derm Institute
- Dermatology Physician
- Caledonia, MI
- NPI 1003460874
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1417600099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 HARDING LN",
"city": "LAVON",
"state": "TX",
"postal_code": "751661879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 HARDING LN",
"city": "LAVON",
"state": "TX",
"postal_code": "751661879",
"telephone_number": "405-496-6363"
}
],
"practiceLocations": [
{
"address_1": "496 Harding Ln",
"address_purpose": "LOCATION",
"city": "Lavon",
"state": "TX",
"postal_code": "751661879",
"country_code": "US",
"telephone_number": "405-496-6363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 E Memorial Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731311827",
"country_code": "US",
"telephone_number": "405-446-5714",
"fax_number": "405-497-6155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASAR",
"first_name": "THINGAL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1061915",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "207455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201209510A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lavon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.