NPIMap

Organization Active NPI

Ou Childrens Physicians Dental Service-Oucp Dental Service

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1013938117
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OU CHILDRENS PHYSICIANS DENTAL SERVICE-OUCP DENTAL SERVICE
Practice address
1200 Childrens Ave Ste 8F
Oklahoma City, OK 73104-4637
Phone
(405) 271-4750
Fax
(405) 271-4055
NPI assigned
Jul 22, 2006
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Dr. David Alan Ciesla, D.D.S., MS
Title
Program Director
Phone
(405) 271-4750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X OK Primary

Addresses

Primary practice location

1200 Childrens Ave Ste 8F
Oklahoma City, OK 73104-4637

Mailing address

1200 Childrens Ave Ste 8F
Oklahoma City, OK 73104-4637
Phone (405) 271-4750

Other identifiers 1

IdentifierTypeStateIssuer
100749330AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1200 Childrens Ave
Ste 8F
Oklahoma City, OK 73104
Phone (405) 271-4750

1200 N Phillips Ave
Ste 8900
Oklahoma City, OK 73104
Phone (405) 271-4750

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1013938117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CHILDRENS AVE STE 8F",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044637",
            "telephone_number": "405-271-4750",
            "fax_number": "405-271-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHILDRENS AVE STE 8F",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044637",
            "telephone_number": "405-271-4750",
            "fax_number": "405-271-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OU CHILDRENS PHYSICIANS DENTAL SERVICE-OUCP DENTAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "CIESLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "405-271-4750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100749330A",
            "state": "OK"
        }
    ],
    "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 May 16, 2024; 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.