Complete Cosmetic Care Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

6032 Issued in OK

Legal business name

COMPLETE COSMETIC CARE DENTISTRY

Practice address

12136 S Yukon Ave
Sapulpa, OK 74066-6621

Phone

(918) 216-1000

Fax

(918) 216-1100

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Sandy Salamandra

Title

Office Manager

Phone

(918) 216-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Complete Cosmetic Care Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Parnam Mohanna DDS, PLLC

  • Dentist
  • Tulsa, OK
  • NPI 1003072927
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rickie Lee Harper, RDH

  • Dental Hygienist
  • Sapulpa, OK
  • NPI 1720426091
  NPD (past)

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1053740563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12136 S YUKON AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666621",
            "telephone_number": "918-216-1000",
            "fax_number": "918-216-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12136 S YUKON AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666621",
            "telephone_number": "918-216-1000",
            "fax_number": "918-216-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE COSMETIC CARE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "SALAMANDRA",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-216-1000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "6032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200201950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannine L Coker
• Payton Cole
• Jean E Coll, C-RSS
• Teresa Collins, M.S. CCC-SLP
• Comfort Dental of Sapulpa PLLC
• Cheryl Lynn Coney, LPN
• Daniel Contreras
• Meressa Contu
• Karen Marie Cook
• Sarah Cook, O.D.

• Dentist in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.