SHADFAR FACIAL PLASTIC SURGERY LLC
NPI 1396636031
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Edmond, OK

NPI Status: Active since July 11, 2025

Contact Information

4509 INTEGRIS PKWY STE 350
EDMOND, OK
ZIP 73034
Phone: (405) 534-4358
Fax: (405) 657-3896

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  • Organization
  • Otolaryngology
  • Otolaryngology/Facial Plastic Surgery

About SHADFAR FACIAL PLASTIC SURGERY LLC

This page provides the complete NPI Profile along with additional information for Shadfar Facial Plastic Surgery Llc, a provider established in Edmond, Oklahoma operating as a Otolaryngology, focusing in otolaryngology/facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1396636031 assigned on July 2025. The practitioner's primary taxonomy code is 207YX0905X. The provider is registered as an organization and their NPI record was last updated one year ago. Shadfar Facial Plastic Surgery Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Scott Shadfar Md (Manager)

NPI
1396636031
Provider Name
SHADFAR FACIAL PLASTIC SURGERY LLC
Entity Type
Organization
Location Address
4509 INTEGRIS PKWY STE 350 EDMOND, OK 73034
Location Phone
(405) 534-4358
Location Fax
(405) 657-3896
Mailing Address
225 NATURE LN EDMOND, OK 73034
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2025
Last Update Date
07-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Otolaryngology/Facial Plastic Surgery

Taxonomy Code
207YX0905X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT SHADFAR MD

Authorized Official Title
MANAGER
Authorized Official Phone
(405) 834-3275

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396636031, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 6 → 12 → 3 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 2 + 3 + 1 + 2 + 0 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1396636031.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Otolaryngology (Facial Plastic Surgery)
4509 INTEGRIS PKWY STE 350
EDMOND, OK 73034
Otolaryngology (Facial Plastic Surgery)
4509 INTEGRIS PKWY STE 350
EDMOND, OK 73034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396636031, enumerated as an "organization" on July 11, 2025.

The provider is located at 4509 INTEGRIS PKWY STE 350 EDMOND, OK 73034 and the phone number is (405) 534-4358.

Otolaryngology with taxonomy code 207YX0905X and a focus in Otolaryngology/Facial Plastic Surgery.