NPIMap

Organization Active NPI

Travis M Storts

  • Dentist
  • Ardmore, OK
National Provider Identifier
1063891877
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6692 Issued in OK
Legal business name
TRAVIS M STORTS
Practice address
1220 Merrick Dr
Ardmore, OK 73401-1824
Phone
(580) 223-6720
Fax
(580) 223-6724
NPI assigned
May 26, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Dr. Travis M Storts, D.D.S.NPI 1417333451
Title
Dentist
Phone
(580) 223-6720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6692 OK Primary

Addresses

Primary practice location

1220 Merrick Dr
Ardmore, OK 73401-1824

Mailing address

1220 Merrick Dr
Ardmore, OK 73401-1824
Phone (580) 223-6720

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1063891877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MERRICK DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011824",
            "telephone_number": "580-223-6720",
            "fax_number": "580-223-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MERRICK DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011824",
            "telephone_number": "580-223-6720",
            "fax_number": "580-223-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS M STORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "STORTS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "580-223-6720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.