Active NPI
Layton Paul Elledge
- Dentist
- Oklahoma City, OK
National Provider Identifier
1003614165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8123
- Practice address
- 4605 NW 23Rd St
Oklahoma City, OK 73127-2128 - Phone
- (405) 978-2220
- Fax
- (405) 978-2221
- NPI assigned
- Mar 5, 2025
- Last updated
- Jul 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8123 | OK | Primary |
Addresses
Primary practice location
4605 NW 23Rd St
Oklahoma City, OK 73127-2128
Mailing address
4210 N Edwards St
Boise, ID 83703-4004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8123 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windsor Dental Partners PLLC | Current | Accepting new patients |
Locations
4605 NW 23rd St
Oklahoma City, OK 73127
Phone (405) 251-8880
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Comfort Dental Windsor Hills
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1295545796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1003614165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 N EDWARDS ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837034004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 NW 23RD ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731272128",
"telephone_number": "405-978-2220",
"fax_number": "405-978-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLEDGE",
"first_name": "LAYTON",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-05",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "8123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.