NPIMap

Organization Active NPI

Excel Dentistry and Braces

  • Dental Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1063992121
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7090 Issued in OK
Legal business name
EXCEL DENTISTRY AND BRACES
Practice address
2750 NW 23Rd St
Oklahoma City, OK 73107-2212
Phone
(435) 232-7801
NPI assigned
Aug 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Brad Nelson
Title
Owner
Phone
(405) 260-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7090 OK Primary

Addresses

Primary practice location

2750 NW 23Rd St
Oklahoma City, OK 73107-2212

Mailing address

2750 NW 23Rd St
Oklahoma City, OK 73107-2212
Phone (405) 942-4445

National Provider Directory

National Provider Directory

Locations

2750 NW 23rd St
Oklahoma City, OK 73107
Phone (405) 780-4705

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1063992121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072212",
            "telephone_number": "405-942-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072212",
            "telephone_number": "435-232-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DENTISTRY AND BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-260-6080"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "7090",
            "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 Feb 5, 2024; 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.