Aesthetic Institute of Oklahoma PLLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

AESTHETIC INSTITUTE OF OKLAHOMA PLLC

Doing business as

Shadfar Facial Plastic Surgery

Practice address

4509 Integris Pkwy Ste 350
Edmond, OK 73034-8696

Phone

(405) 534-4358

Fax

(405) 657-3896

NPI assigned

Aug 1, 2025

Last updated

Aug 1, 2025By 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

Scott Shadfar, MDNPI 1710148283

Title

Owner

Phone

(405) 834-3275

Specialties & licenses 2

Addresses

Other names 1

• Shadfar Facial Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

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.

• Scott Shadfar, MD

  • Facial Plastic Surgery Physician
  • Oklahoma City, OK
  • NPI 1710148283
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1972487254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731010797",
            "telephone_number": "405-534-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 INTEGRIS PKWY STE 350",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348696",
            "telephone_number": "405-534-4358",
            "fax_number": "405-657-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC INSTITUTE OF OKLAHOMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "SHADFAR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-834-3275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shadfar Facial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Counseling P.C.
• Advanced Imaging Consultants, PC
• Advanced Medical Enterprises, LP
• Advanced Nutrition Consultants
• Advanced Podiatry, PLLC
• Affect Provider Group, P.S.C.
• Affiliated Physical Therapists, Inc.
• Affinity Counseling, LLC
• Aft Home Care Services LLC (Visiting Angels of NW OKC & Edmond)
• Agape Chiropractic PLLC

• Facial Plastic Surgery Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Facial Plastic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.