NPIMap

Organization Active NPI

Deng Family Medicine Center, PC

  • Primary Care Clinic/Center
  • Midwest City, OK
National Provider Identifier
1790937803
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
22700 Issued in OK
Legal business name
DENG FAMILY MEDICINE CENTER, PC
Practice address
2801 S Douglas Blvd
Midwest City, OK 73130-7194
Phone
(405) 737-3278
Fax
(405) 737-0240
NPI assigned
Oct 21, 2008
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Zeming Deng, MDNPI 1659363463
Title
President
Phone
(405) 737-3278

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 22700 OK Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

2801 S Douglas Blvd
Midwest City, OK 73130-7194

Mailing address

2801 S Douglas Blvd
Midwest City, OK 73130-7194
Phone (405) 737-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090109000558 OK Part B Supplier - Clinic/Group Practice 2466515994 Receives reassigned benefits from 7 practitioners
Practice locations: Midwest City, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1790937803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731307194",
            "telephone_number": "405-737-3278",
            "fax_number": "405-737-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S DOUGLAS BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731307194",
            "telephone_number": "405-737-3278",
            "fax_number": "405-737-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENG FAMILY MEDICINE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "DENG",
        "authorized_official_first_name": "ZEMING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-737-3278",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "22700",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.