Darren Elenburg DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

DARREN ELENBURG DPM PC

Practice address

507 NE 12TH St
Moore, OK 73160-5807

Phone

(405) 418-2676

Fax

(405) 418-2677

NPI assigned

Oct 3, 2019

Organization subpart

Yes

Parent organization

DARREN ELENBURG DPM PCAs reported in NPPES

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

Authorized official

Name

Darren Dean Elenburg, DPMNPI 1548269459

Title

Owner

Phone

(405) 418-2676

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Darren Elenburg DPM PC2 organizations share this tax ID, including this one

Part of

Darren Elenburg DPM PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Darren Elenburg DPM PC

  • Podiatrist
  • Oklahoma City, OK
  • NPI 1558567537
  NPD tax ID

Practitioners 1

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

• Darren Dean Elenburg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oklahoma City, OK
  • NPI 1548269459
  NPD (past) Authorized official

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1477194199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142006",
            "telephone_number": "405-418-2676",
            "fax_number": "405-418-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 NE 12TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605807",
            "telephone_number": "405-418-2676",
            "fax_number": "405-418-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN ELENBURG DPM PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DARREN ELENBURG DPM PC",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "ELENBURG",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-418-2676",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200120470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Moore, OK
• Providers in Moore, OK by specialty
• Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.