OrganizationActive
Dustin Shaun Tedesco PLLC
NPI 1063822633 · Nephrology Physician · Norman, OK
Dustin Shaun Tedesco PLLC is a Nephrology Physician organization in Norman, OK (NPI 1063822633).
Provider details
- NPI number
- 1063822633
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shaun Tedesco, Owner/Physician(405) 936-0504
- License
- 25729 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1553 N Porter Ave
Norman, OK 73071-6621
Phone: (405) 217-8500
Fax: (405) 217-8501
Street-level locationGet directions
Mailing address
1553 N Porter Ave
Norman, OK 73071-6621
Registry dates
- Enumerated
- 2014-05-05
- Last updated
- 2014-05-05
Frequently asked questions
- What is Dustin Shaun Tedesco PLLC's NPI number?
- Dustin Shaun Tedesco PLLC's National Provider Identifier (NPI) is 1063822633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dustin Shaun Tedesco PLLC?
- Dustin Shaun Tedesco PLLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Dustin Shaun Tedesco PLLC located?
- Dustin Shaun Tedesco PLLC's practice location on file with NPPES is 1553 N Porter Ave, Norman, OK 73071-6621.
- What is Dustin Shaun Tedesco PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dustin Shaun Tedesco PLLC is (405) 217-8500.
- Who is the authorized official for Dustin Shaun Tedesco PLLC?
- The authorized official listed on Dustin Shaun Tedesco PLLC's NPPES record is Shaun Tedesco, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dustin Shaun Tedesco PLLC's NPI active?
- Yes — Dustin Shaun Tedesco PLLC's NPI (1063822633) is active in the NPPES registry as of the last update on 2014-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.