Organization Active NPI

Clendenin MD LLC

  • General Practice Physician
  • Edmond, OK
National Provider Identifier
1629967864
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLENDENIN MD LLC
Practice address
1081 N Bryant Ave
Edmond, OK 73034-3208
Phone
(737) 333-2400
Fax
(405) 785-3622
NPI assigned
Jul 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Robert Keele Clendenin, MDNPI 1427436088
Title
Owner/Physician
Phone
(321) 220-5000

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1081 N Bryant Ave
Edmond, OK 73034-3208

Mailing address

2028 E Ben White Blvd Ste 240-7980
Austin, TX 78741-6966
Phone (737) 333-2400

National Provider Directory

National Provider Directory

Locations

1081 N Bryant Ave
Edmond, OK 73034
Phone (737) 333-2400

Practitioners & affiliated clinicians

Practitioners 1

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": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1629967864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E BEN WHITE BLVD STE 240-7980",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416966",
            "telephone_number": "737-333-2400",
            "fax_number": "405-622-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 N BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343208",
            "telephone_number": "737-333-2400",
            "fax_number": "405-785-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLENDENIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEELE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "321-220-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.