Organization Active NPI

Clinton Webster MD PC

  • Plastic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1922446780
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
29518 Issued in OK
Legal business name
CLINTON WEBSTER MD PC
Practice address
3705 NW 63Rd St
Suite 204
Oklahoma City, OK 73116-1935
Phone
(405) 842-9732
Fax
(405) 842-9771
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dr. Clinton Bradshaw Webster, M.D.
Title
Physician and President
Phone
(405) 842-9732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 29518 OK Primary

Addresses

Primary practice location

3705 NW 63Rd St
Suite 204
Oklahoma City, OK 73116-1935

Mailing address

9102 N Hassett Rd
Oklahoma City, OK 73131-4065
Phone (904) 316-0954

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1922446780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 N HASSETT RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731314065",
            "telephone_number": "904-316-0954",
            "fax_number": "405-842-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST",
            "address_2": "SUITE 204",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161935",
            "telephone_number": "405-842-9732",
            "fax_number": "405-842-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON WEBSTER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "BRADSHAW",
        "authorized_official_title_or_position": "PHYSICIAN AND PRESIDENT",
        "authorized_official_telephone_number": "405-842-9732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OK",
            "license": "29518",
            "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 Jun 13, 2013; 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.