NPIMap

Organization Active NPI

Dental Depot Orthodontics Norman PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Norman, OK
National Provider Identifier
1013330885
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
73 Issued in OK
Legal business name
DENTAL DEPOT ORTHODONTICS NORMAN PLLC
Practice address
701 W Main St
Norman, OK 73069-6918
Phone
(405) 310-6123
NPI assigned
Jan 29, 2014
Organization subpart
Yes
Parent organization
DENTAL DEPOT OF NORMAN PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bryson Pogson
Title
Director
Phone
(405) 945-8941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 73 OK Primary

Addresses

Primary practice location

701 W Main St
Norman, OK 73069-6918

Mailing address

1920 N Drexel Blvd
Oklahoma City, OK 73107-3925
Phone (405) 945-8941

National Provider Directory

National Provider Directory
Part of
Dental Depot of Norman PLLC

Locations

701 W Main St
Norman, OK 73069
Phone (405) 253-4364

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1013330885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N DREXEL BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731073925",
            "telephone_number": "405-945-8941",
            "fax_number": "405-945-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696918",
            "telephone_number": "405-310-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEPOT ORTHODONTICS NORMAN PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL DEPOT OF NORMAN PLLC",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "POGSON",
        "authorized_official_first_name": "BRYSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-945-8941"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "73",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.