First Impressions Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6061 Issued in OK

Legal business name

FIRST IMPRESSIONS DENTISTRY

Practice address

4301 NW 63Rd St
300
Oklahoma City, OK 73116-1549

Phone

(405) 879-0000

Fax

(405) 879-0656

NPI assigned

Jul 31, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Matt Cole, DDS

Title

Owner

Phone

(405) 879-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Tabitha Lynn Arias, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1568999498
  NPD (past)
• Johnny Gordon Roby Jr., D.D.S.

  • Dentist
  • Oklahoma City, OK
  • NPI 1871601047
  NPD (past)

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1053743153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NW 63RD ST",
            "address_2": "300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161549",
            "telephone_number": "405-879-0000",
            "fax_number": "405-879-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NW 63RD ST",
            "address_2": "300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161549",
            "telephone_number": "405-879-0000",
            "fax_number": "405-879-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST IMPRESSIONS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-879-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200231440 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Laurine Firlit, MD
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• First Century Medical Supply
• First Choice Home Medical, Inc
• First Choice Integrated Counseling
• First Med Clinic 39TH LLC
• First Med Clinic Penn LLC
• First Med Clinic S 104TH LLC
• First Med Clinic S Walker LLC
• First Med Primary Care LLC

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.