Dr. David C. Cavallaro, D.P.M., Inc.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

140 Issued in OK

Legal business name

DR. DAVID C. CAVALLARO, D.P.M., INC.

Practice address

7370 S Walker Ave
Oklahoma City, OK 73139-7628

Phone

(405) 631-2333

Fax

(405) 631-2350

NPI assigned

Mar 15, 2007

Reactivated

Feb 2, 2011

Last updated

Oct 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Carl Cavallaro, DPM

Title

Ceo

Phone

(405) 631-2333

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1871627315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7370 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731397628",
            "telephone_number": "405-631-2333",
            "fax_number": "405-631-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7370 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731397628",
            "telephone_number": "405-631-2333",
            "fax_number": "405-631-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID C. CAVALLARO, D.P.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-10-25",
        "deactivation_date": "2008-08-11",
        "reactivation_date": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "CAVALLARO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-631-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OK",
            "license": "140",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "078425699002",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100779410A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1548261050",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dr. Craig a. Wooten, P.C. (Oral & Facial Surgery of Oklahoma)
• Dr. Curt Massengale & Associates (Massengale Eye Care)
• Dr. Islo D. 'Winn' Ashmore
• Dr. Mary K. Mercer, P.C.
• Dr. Robert E. Cooper, Optometrist, Inc.
• Dr. Scott L. Shields, P.C. (Total Foot & Ankle)
• Dr. Yong H. Kim, PSYD, Professional Limited Company

• Primary Podiatric Medicine Podiatrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Primary Podiatric Medicine Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.