NPIMap

Organization Active NPI

Mustang Foot & Ankle Clinic, LLC

Doing business as Ankle and Foot clinics

  • Foot & Ankle Surgery Podiatrist
  • Mustang, OK
National Provider Identifier
1609611623
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MUSTANG FOOT & ANKLE CLINIC, LLC
Doing business as
Ankle and Foot clinics
Practice address
551 N Mustang Rd
Mustang, OK 73064-7002
Phone
(405) 376-1115
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Dr. Matthew Carson, DPMNPI 1225480148
Title
Owner
Phone
(405) 326-2660

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

551 N Mustang Rd
Mustang, OK 73064-7002

Mailing address

551 N Mustang Rd
Mustang, OK 73064-7002
Phone (405) 376-1115

Other practice location 1

4509 Integris Pkwy Ste 300
Edmond, OK 73034-8696
Phone (405) 256-2272

Other names 1

  • Ankle and Foot clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250226002369 OK Part B Supplier - Clinic/Group Practice 0042730640 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK; Mustang, OK
O20250609002186 OK DME Supplier - Physician - Podiatry 0042730640 Practice locations: Mustang, OK

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.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1609611623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730647002",
            "telephone_number": "405-376-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730647002",
            "telephone_number": "405-376-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4509 Integris Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730348696",
            "country_code": "US",
            "telephone_number": "405-256-2272",
            "fax_number": "877-391-3640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUSTANG FOOT & ANKLE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-326-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ankle and Foot clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ankle and Foot clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mustang, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.