Healthcare Provider Details

I. General information

NPI: 1649974197
Provider Name (Legal Business Name): CHRISTOPHER SMITH DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3433 NW 56TH ST STE 800
OKLAHOMA CITY OK
73112-4452
US

IV. Provider business mailing address

3433 NW 56TH ST STE 800
OKLAHOMA CITY OK
73112-4452
US

V. Phone/Fax

Practice location:
  • Phone: 405-418-4500
  • Fax: 405-418-4501
Mailing address:
  • Phone: 405-418-4500
  • Fax: 405-418-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number414
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: