Organization Active NPI

Oklahoma Spine Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1609465269
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OKLAHOMA SPINE SURGERY CENTER
Practice address
13313 N Meridian Ave Ste B
Oklahoma City, OK 73120-8316
Phone
(405) 849-6979
Fax
(405) 849-9264
NPI assigned
Jan 18, 2021
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Ms. Terra Pappe
Title
Administrator
Phone
(405) 849-6979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

13313 N Meridian Ave Ste B
Oklahoma City, OK 73120-8316

Mailing address

13313 N Meridian Ave Ste B
Oklahoma City, OK 73120-8316
Phone (405) 849-6979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210311002665 OK Part B Supplier - Ambulatory Surgical Center 3870909096 Practice locations: Oklahoma City, OK

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Oklahoma Spine Surgery Center LLCCCN 37C0001022
Medicare certification status
Terminated Voluntary: merger or closure, Apr 17, 2024From the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1609465269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13313 N MERIDIAN AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208316",
            "telephone_number": "405-849-6979",
            "fax_number": "405-849-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 N MERIDIAN AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208316",
            "telephone_number": "405-849-6979",
            "fax_number": "405-849-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA SPINE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "PAPPE",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-849-6979",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.