OKLAHOMA AESTHETIC RECONSTRUCTIVE SURGERY LLC
NPI 1932879699
Surgery - Plastic and Reconstructive Surgery in Oklahoma City, OK

Active since September 15, 2021
13820 WIRELESS WAY, OKLAHOMA CITY, OK 73134(405) 246-0391(405) 246-0392 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oklahoma Aesthetic Reconstructive Surgery Llc NPPES

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

OKLAHOMA AESTHETIC RECONSTRUCTIVE SURGERY LLC (NPI 1932879699) is a healthcare organization registered as a plastic and reconstructive surgery in Oklahoma City, Oklahoma and active in the NPI registry since September 2021. The organization lists Stacey Dill, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1932879699
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameOKLAHOMA AESTHETIC RECONSTRUCTIVE SURGERY LLC
Location Address13820 WIRELESS WAYOklahoma City, OK 73134-2501
Mailing Address2708 W Country Club DrOklahoma City, OK 73116-4219 · (405) 246-0391 · Fax (405) 246-0392
Fax(405) 246-0392
Organization SubpartNo
Authorized OfficialStacey DillOffice Administrator · (405) 735-9700
Enumeration DateSeptember 15, 2021
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
NPI 1932879699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
13820 WIRELESS WAY, Oklahoma City, OK 73134

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 5

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

Psychiatry & Neurology (Psychiatry)
13820 WIRELESS WAY
OKLAHOMA CITY, OK 73134
Psychiatry & Neurology (Child & Adolescent Psychiatry)
13820 WIRELESS WAY
OKLAHOMA CITY, OK 73134
Phlebology
13820 WIRELESS WAY
OKLAHOMA CITY, OK 73134
Specialist
13820 WIRELESS WAY
OKLAHOMA CITY, OK 73134
Otolaryngology
13820 WIRELESS WAY
OKLAHOMA CITY, OK 73134

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 Oklahoma Aesthetic Reconstructive Surgery LLC's NPI number?

The NPI number for Oklahoma Aesthetic Reconstructive Surgery LLC is 1932879699. It was assigned to this organization in the NPPES registry on September 15, 2021.

Where is Oklahoma Aesthetic Reconstructive Surgery LLC located?

Oklahoma Aesthetic Reconstructive Surgery LLC is located at 13820 Wireless Way, Oklahoma City, OK 73134. The listed phone number is (405) 246-0391.

What is Oklahoma Aesthetic Reconstructive Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Oklahoma Aesthetic Reconstructive Surgery LLC was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.