Active NPI
Vashti Osborn
- Dentist
- Ada, OK
National Provider Identifier
1063941177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6953
- Practice address
- 1430 Lonnie Abbott Blvd
Ada, OK 74820-1851 - Phone
- (580) 279-1716
- Fax
- (580) 279-1591
- NPI assigned
- Jun 12, 2017
- Last updated
- Jun 12, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 6953 | OK | Primary |
Addresses
Primary practice location
1430 Lonnie Abbott Blvd
Ada, OK 74820-1851
Mailing address
1430 Lonnie Abbott Blvd
Ada, OK 74820-1851
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okc Dental Health Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MyDentist-Ada
- General Practice Dentistry
- Ada, OK
- NPI 1942620893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497225600000",
"number": "1063941177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 LONNIE ABBOTT BLVD",
"city": "ADA",
"state": "OK",
"postal_code": "748201851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 LONNIE ABBOTT BLVD",
"city": "ADA",
"state": "OK",
"postal_code": "748201851",
"telephone_number": "580-279-1716",
"fax_number": "580-279-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "VASHTI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-12",
"last_updated": "2017-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.