Medical Consultant Services

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MEDICAL CONSULTANT SERVICES

Practice address

3309 W Princeton St
Broken Arrow, OK 74012-9587

Phone

(419) 819-9498

NPI assigned

Jun 22, 2016

Organization subpart

Yes

Parent organization

00000000As reported in NPPES

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

Authorized official

Name

Dr. Mansoor Bhatti, DDS, PHD, PA-C

Title

Director of Clinical Medicine

Phone

(419) 819-9498

Specialties & licenses 1

Addresses

Part of

Medical Consultant Services

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1033560966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 W PRINCETON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129587",
            "telephone_number": "419-819-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 W PRINCETON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129587",
            "telephone_number": "419-819-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONSULTANT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "00000000",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BHATTI",
        "authorized_official_first_name": "MANSOOR",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL MEDICINE",
        "authorized_official_telephone_number": "419-819-9498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD, PA-C"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Lee McNeal, DDS
• Meals by Joleen LLC
• Justine Monique Means
• Audrey Meche
• Med Southwest, PLLC (MyEyeDr.)
• Medical Muscle, LLC
• Mednow Primary Care Center LLC
• Mednow Urgent Care Center LLC
• Medstaff PC
• Medwise LLC

• Oral and Maxillofacial Surgery (Dentist) in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.