Catoosa Dental Care, PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5182 Issued in OK

Legal business name

CATOOSA DENTAL CARE, PLC

Practice address

1755 N Highway 66
Suite # D
Catoosa, OK 74015-2409

Phone

(918) 266-3866

Fax

(918) 266-3880

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Leon Brewer, D.D.SNPI 1275798373

Title

President

Phone

(918) 266-3866

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael L Brewer, D.D.S.

  • General Practice Dentistry
  • Catoosa, OK
  • NPI 1275798373
  NPD (past) Authorized official

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073712949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1227",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740151227",
            "telephone_number": "918-266-3866",
            "fax_number": "918-266-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N HIGHWAY 66",
            "address_2": "SUITE # D",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740152409",
            "telephone_number": "918-266-3866",
            "fax_number": "918-266-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATOOSA DENTAL CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-266-3866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Tyrell Cain
• Paige A Caldwell, PT, DPT
• Alexis Esther Carter, LMSW-P
• Jennifer Carter
• Thomas Michael Carwile, DDS
• Catoosa Family Pharmacy LLC
• Catoosa Health Care Center, Inc.
• Catoosa Hope Clinic PLLC
• Catoosa Pharmacy, LLC
• Catoosa Public Schools

• General Practice Dentistry in Catoosa, OK
• Providers in Catoosa, 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 Aug 22, 2020; 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.