Individual provider Active NPI

Cory J. Chambers, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1063617546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5941 Issued in OK
Practice address
9405 N Pennsylvania PL
Oklahoma City, OK 73120-3801
Phone
(405) 753-9090
Fax
(405) 755-6896
NPI assigned
Jun 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5941 OK Primary

Addresses

Primary practice location

9405 N Pennsylvania PL
Oklahoma City, OK 73120-3801

Mailing address

9405 N Pennsylvania PL
Oklahoma City, OK 73120-3801
Phone (405) 753-9090

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

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063617546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 N PENNSYLVANIA PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203801",
            "telephone_number": "405-753-9090",
            "fax_number": "405-755-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 N PENNSYLVANIA PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203801",
            "telephone_number": "405-753-9090",
            "fax_number": "405-755-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "CORY",
        "middle_name": "J.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5941",
            "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 Jul 8, 2007; 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.