David Glen Wade, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

120 Issued in OK

Practice address

3330 NW 56TH St
Suite 600
Oklahoma City, OK 73112-4479

Phone

(405) 947-8041

Fax

(405) 947-8043

NPI assigned

Jul 28, 2005

Last updated

Aug 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• David G. Wade DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • Oklahoma City, OK
  • NPI 1053712737
  Authorized official Same address or phone
• Deaconess Physician Services LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1427017862
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1568462828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269092",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269092",
            "telephone_number": "405-947-8041",
            "fax_number": "405-947-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "SUITE 600",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-947-8041",
            "fax_number": "405-947-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "DAVID",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "120",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Waddle, PTA
• Shelly Ranae Waddle, OTA
• Aaron Clay Wade, PA-C
• Adama N Wade, CD,CPD
• Brent A Wade Sr.
• Donna Lee Wade, LPC, LADC
• Gabriel Wade, MD
• Jason Brian Wade
• Mark Wade
• Monique Wade

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.