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

Active since July 11, 2025
4509 INTEGRIS PKWY STE 350, EDMOND, OK 73034(405) 534-4358(405) 657-3896 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shadfar Facial Plastic Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADFAR FACIAL PLASTIC SURGERY LLC (NPI 1396636031) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Edmond, Oklahoma and active in the NPI registry since July 2025. The organization lists Scott Shadfar, Manager, as its authorized official.

NPPES Registry Identity

NPI1396636031
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameSHADFAR FACIAL PLASTIC SURGERY LLC
Location Address4509 INTEGRIS PKWY STE 350Edmond, OK 73034-8696
Mailing Address225 Nature LnEdmond, OK 73034-3461
Fax(405) 657-3896
Organization SubpartNo
Authorized OfficialScott ShadfarManager · (405) 834-3275
Enumeration DateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
NPI 1396636031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Also ListedOtolaryngologyTaxonomy 207Y00000X
4509 INTEGRIS PKWY STE 350, Edmond, OK 73034

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadfar Facial Plastic Surgery LLC's NPI number?

The NPI number for Shadfar Facial Plastic Surgery LLC is 1396636031. It was assigned to this organization in the NPPES registry on July 11, 2025.

Where is Shadfar Facial Plastic Surgery LLC located?

Shadfar Facial Plastic Surgery LLC is located at 4509 Integris Pkwy Ste 350, Edmond, OK 73034. The listed phone number is (405) 534-4358.

What is Shadfar Facial Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for Shadfar Facial Plastic Surgery LLC was last updated on July 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.