Active NPI
Clinton Webster MD PC
- Plastic Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1922446780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 29518
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryNPI 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.