DR. DAVID C. CAVALLARO D.P.M. INC. NPI 1871627315

NPI Information

NPI: 1871627315
Provider Name: DR. DAVID C. CAVALLARO, D.P.M., INC.
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
7370 S WALKER AVE
OKLAHOMA CITY, OK
ZIP 73139
Phone: (405) 631-2333
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DR. DAVID C. CAVALLARO, D.P.M., INC. is a primary podiatric medicine podiatrist in Oklahoma City, OK. DR. DAVID C. CAVALLARO, D.P.M., INC. NPI is 1871627315. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7370 S WALKER AVE
OKLAHOMA CITY, OK
ZIP 73139-628
Phone: (405) 631-2333
Fax: (405) 631-2350

The provider's authorized official is David Carl Cavallaro .
The authorized official title is Ceo and has the following contact phone number (405) 631-2333.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 10/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	140	OKLAHOMA	No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	140	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T40737	MEDICARE UPIN	OKLAHOMA
2	1003890001	MEDICARE NSC	OKLAHOMA
3	078425699	MEDICARE PIN	OKLAHOMA
4	1548261050	OTHER	OKLAHOMA	INDIVIDUAL NPI #
5	=========	OTHER	OKLAHOMA	TRICARE PROVIDER #
6	100779410A	MEDICAID	OKLAHOMA
7	078425699002	OTHER	OKLAHOMA	BCBS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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