Organization Active NPI

Okc Dental Health Associates, P.C.

Doing business as Quail Springs Dental Care

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1013337955
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OKC DENTAL HEALTH ASSOCIATES, P.C.
Doing business as
Quail Springs Dental Care
Practice address
14221 N Pennsylvania Ave
Suite C
Oklahoma City, OK 73134-6096
Phone
(405) 775-0033
Fax
(405) 775-0044
NPI assigned
Apr 18, 2014
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
OKC DENTAL HEALTH ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Hannah Fish
Title
Credentialing Coordinator
Phone
(217) 540-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14221 N Pennsylvania Ave
Suite C
Oklahoma City, OK 73134-6096

Mailing address

14221 N Pennsylvania Ave
Suite C
Oklahoma City, OK 73134-6096
Phone (405) 775-0033

Other names 1

  • Quail Springs Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Okc Dental Health Associates PC40 organizations share this tax ID, including this one
Part of
Okc Dental Health Associates PC

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

14221 N Pennsylvania Ave
Ste C
Oklahoma City, OK 73134
Phone (405) 775-0033

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1013337955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 N PENNSYLVANIA AVE",
            "address_2": "SUITE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346096",
            "telephone_number": "405-775-0033",
            "fax_number": "405-775-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 N PENNSYLVANIA AVE",
            "address_2": "SUITE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346096",
            "telephone_number": "405-775-0033",
            "fax_number": "405-775-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKC DENTAL HEALTH ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKC DENTAL HEALTH ASSOCIATES, P.C.",
        "enumeration_date": "2014-04-18",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5699"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quail Springs Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2016; 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.