Organization Active NPI

Terry M. Nayfa DPM PC

  • Podiatrist
  • Duncan, OK
National Provider Identifier
1447438429
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
147 Issued in OK
Legal business name
TERRY M. NAYFA DPM PC
Practice address
2025 W Elk Ave
Duncan, OK 73533-1602
Phone
(580) 255-9500
Fax
(580) 255-9512
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Dr. Terry M. Nayfa, DPMNPI 1003809583
Title
Doctor
Phone
(405) 947-5492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 147 OK Primary

Addresses

Primary practice location

2025 W Elk Ave
Duncan, OK 73533-1602

Mailing address

2025 W Elk Ave
Duncan, OK 73533-1602
Phone (580) 255-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101230000286 OK Part B Supplier - Clinic/Group Practice 3274653068 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1447438429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 W ELK AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331602",
            "telephone_number": "580-255-9500",
            "fax_number": "580-255-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W ELK AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331602",
            "telephone_number": "580-255-9500",
            "fax_number": "580-255-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY M. NAYFA DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "NAYFA",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "405-947-5492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.