Darren Elenburg DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

DARREN ELENBURG DPM PC

Doing business as

Foot & Ankle Center of Oklahoma

Practice address

1703 Professional Cir Ste 101
Yukon, OK 73099-6497

Phone

(405) 418-2676

Fax

(405) 418-2677

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Michelle Wild

Title

Office Manager

Phone

(405) 227-9440

Specialties & licenses 1

Addresses

Other names 1

• Foot & Ankle Center of Oklahoma Doing business as

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1790535409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142006",
            "telephone_number": "405-418-2676",
            "fax_number": "405-418-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 PROFESSIONAL CIR STE 101",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996497",
            "telephone_number": "405-418-2676",
            "fax_number": "405-418-2677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 W Memorial Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731142006",
            "country_code": "US",
            "telephone_number": "405-418-2676",
            "fax_number": "405-418-2677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DARREN ELENBURG DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "WILD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-227-9440"
    },
    "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": "Foot & Ankle Center of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Damon L Johnson, DDS, PC
• Bansi Daniel
• Callie Daun Daniel
• James Daniels
• Melody Ruth Daniels, M.A.
• Judy Daugherity, M.S CCC-SLP
• Bailey Davenport
• David C Brewer Optometrist, P C
• David E. Deason
• David McCoy PLLC

• Foot & Ankle Surgery Podiatrist in Yukon, OK
• Providers in Yukon, OK by specialty
• Foot & Ankle Surgery Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.