Active NPI
Alfred Last, MD
- Dermatology Physician
- Oklahoma City, OK
National Provider Identifier
1750390886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 8565
- Practice address
- 3435 NW 56TH
Suite 1000
Oklahoma City, OK 73112 - Phone
- (405) 947-5595
- Fax
- (405) 947-5417
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 8565 | OK | Primary |
Addresses
Primary practice location
3435 NW 56TH
Suite 1000
Oklahoma City, OK 73112
Mailing address
3435 NW 56TH
Suite 1000
Oklahoma City, OK 73112
Phone (405) 947-5595
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00014040A | Medicaid | OK | |
| 741619257001 | Other | OK | BCBS |
| 741619257 | Other | OK | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alfred Last, M.D. | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Oklahoma City, OK
- NPI 1952561011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1750390886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 NW 56TH",
"address_2": "SUITE 1000",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-947-5595",
"fax_number": "405-947-5417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 NW 56TH",
"address_2": "SUITE 1000",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-947-5595",
"fax_number": "405-947-5417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAST",
"first_name": "ALFRED",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OK",
"license": "8565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00014040A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "741619257001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "741619257",
"state": "OK"
}
],
"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 Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.