Bruce Daniel Storm Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3782 Issued in OK

Practice address

300 N Garrett
Elk City, OK 73644

Phone

(580) 225-1020

Fax

(580) 225-0707

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. B Dan Storm Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elk Creek Dental Center, PLLC

  • Dental Clinic/Center
  • Elk City, OK
  • NPI 1992541601
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073736096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 824",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480824",
            "telephone_number": "580-225-1020",
            "fax_number": "580-225-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N GARRETT",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "73644",
            "telephone_number": "580-225-1020",
            "fax_number": "580-225-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "BRUCE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "3782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B",
            "last_name": "STORM",
            "middle_name": "DAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mechelle Spikes, APRN, FNP-C
• Billy Charles Spurlock, DC
• Bruce Wayne Staeheli, MD
• Billie Dawn Stamm, RN
• Farrina Steel
• Stover Family Chiropractic, PLLC
• Patrick Pete Stover, D.D.S.
• Shiloah Adam Stover, D.C.
• Carla D Suitor, M.S. LPC LADC
• Swartz Drug

• Dentist in Elk City, OK
• Providers in Elk City, OK by specialty
• Dentist in Oklahoma

• 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.