NPIMap

Organization Active NPI

Oklahoma Dental-South

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1043370513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OKLAHOMA DENTAL-SOUTH
Practice address
2128 SW 74TH St
Oklahoma City, OK 73159-3932
Phone
(405) 682-9988
Fax
(405) 842-9954
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Diane F Casteel
Title
Insurance Coordinator
Phone
(405) 840-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2128 SW 74TH St
Oklahoma City, OK 73159-3932

Mailing address

4801 Richmond SQ
Oklahoma City, OK 73118-2058
Phone (405) 840-5600

National Provider Directory

National Provider Directory
Tax ID family
Oklahoma Dental7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2128 W I 240 Service Rd
Oklahoma City, OK 73159
Phone (405) 682-9988

Practitioners & affiliated clinicians

Practitioners 3

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043370513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 RICHMOND SQ",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182058",
            "telephone_number": "405-840-5600",
            "fax_number": "405-842-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 SW 74TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593932",
            "telephone_number": "405-682-9988",
            "fax_number": "405-842-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA DENTAL-SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTEEL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "405-840-5600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.