GLENN L SMITH D.O.
NPI 1740209170
Specialist in Oklahoma City, OK

Active since July 18, 2006
2149 SW 59TH ST, SUITE 101, OKLAHOMA CITY, OK 73119(405) 682-4651(405) 682-3391 Get Directions Write a Review

NPPES record last updated: July 23, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Glenn L Smith D.o. NPPES

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

GLENN L SMITH D.O. (NPI 1740209170) is an individual specialist in Oklahoma City, Oklahoma, licensed in Oklahoma (1667) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1740209170
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGLENN L SMITHCredential: D.O.
Location Address2149 SW 59TH ST, SUITE 101Oklahoma City, OK 73119-7033
Mailing Address2149 Sw 59th St, Suite 101Oklahoma City, OK 73119-7033 · (405) 682-4651 · Fax (405) 682-3391
Fax(405) 682-3391
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 23, 2010
NPI 1740209170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OK · 1667
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2149 SW 59TH ST, Oklahoma City, OK 73119

Other Identifiers 4

Medicare ID-Type Unspecified242414002OK
Other731079803001OK · Blue Cross Blue Shield
Other731079803OK · Federal Tax Id #
Medicare UPINE09770OK

Other Providers at the Same Location NPPES 11

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

Specialist
2149 SW 59TH ST, SUITE 104
OKLAHOMA CITY, OK 73119
Family Medicine (Sports Medicine)
2149 SW 59TH ST
OKLAHOMA CITY, OK 73119
Physician Assistant
2149 SW 59TH ST, SUITE 101
OKLAHOMA CITY, OK 73119
Clinic/Center (Primary Care)
2149 SW 59TH ST, SUITE NO. 104
OKLAHOMA CITY, OK 73119
Orthopaedic Surgery
2149 SW 59TH ST, 102
OKLAHOMA CITY, OK 73119
Internal Medicine (Cardiovascular Disease)
2149 SW 59TH ST, SUITE 203
OKLAHOMA CITY, OK 73119
Neuromusculoskeletal Medicine & OMM
2149 SW 59TH ST, SUITE 101
OKLAHOMA CITY, OK 73119
Family Medicine
2149 SW 59TH ST, SUITE NO. 203
OKLAHOMA CITY, OK 73119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740209170, enumerated as an "individual" on July 18, 2006.

The provider is located at 2149 SW 59TH ST SUITE 101 OKLAHOMA CITY, OK 73119 and the phone number is (405) 682-4651.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.