Active NPI
Robert Talley, DDS
- Dentist
- Norman, OK
National Provider Identifier
1053458901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3515
- Practice address
- 448 36TH Ave NW
Suite 103
Norman, OK 73072-4746 - Phone
- (405) 321-8030
- Fax
- (405) 321-2108
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3515 | OK | Primary |
Addresses
Primary practice location
448 36TH Ave NW
Suite 103
Norman, OK 73072-4746
Mailing address
448 36TH Ave NW
Norman, OK 73072-4746
Phone (405) 321-8030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3515 | OK | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1053458901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 36TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "730724746",
"telephone_number": "405-321-8030",
"fax_number": "405-321-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 36TH AVE NW",
"address_2": "SUITE 103",
"city": "NORMAN",
"state": "OK",
"postal_code": "730724746",
"telephone_number": "405-321-8030",
"fax_number": "405-321-2108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLEY",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "3515",
"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 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.