Active NPI
Charles Curtis Shafer, MT
- Massage Therapist
- Oklahoma City, OK
National Provider Identifier
1649864893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 177039
- Practice address
- 9419 N May Ave
Oklahoma City, OK 73120-2708 - Phone
- (405) 388-2563
- NPI assigned
- Feb 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 177039 | OK | Primary |
Addresses
Primary practice location
9419 N May Ave
Oklahoma City, OK 73120-2708
Mailing address
9419 N May Ave
Oklahoma City, OK 73120-2708
Phone (405) 388-2563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177039 | OK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1649864893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9419 N MAY AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731202708",
"telephone_number": "405-388-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9419 N MAY AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731202708",
"telephone_number": "405-388-2563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "CHARLES",
"middle_name": "CURTIS",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-26",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OK",
"license": "177039",
"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 Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.