Organization Active NPI

Mayank Dave MDPC

  • Family Medicine Physician
  • Lawton, OK
National Provider Identifier
1467765941
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAYANK DAVE MDPC
Practice address
5606 SW Lee Blvd Ste 202
Lawton, OK 73505-9689
Phone
(580) 678-7050
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Dr. Mayank Dave
Title
Owner
Phone
(580) 678-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5606 SW Lee Blvd Ste 202
Lawton, OK 73505-9689

Mailing address

5606 SW Lee Blvd Ste 202
Lawton, OK 73505-9689

National Provider Directory

National Provider Directory

Locations

5606 SW Lee Blvd
Ste 202
Lawton, OK 73505
Phone (580) 536-5300

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1467765941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD STE 202",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD STE 202",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059689",
            "telephone_number": "580-678-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYANK DAVE MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-678-7050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.