Active NPI
GDS, PLLC
- Dentist
- Oklahoma City, OK
National Provider Identifier
1073775573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5116
- Legal business name
- GDS, PLLC
- Practice address
- 1057 NW Grand Blvd
Oklahoma City, OK 73118-6039 - Phone
- (405) 848-3719
- Fax
- (405) 848-9741
- NPI assigned
- Jun 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael K Kirk, D.D.S.
- Title
- Owner
- Phone
- (405) 848-3719
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5116 | OK | Primary |
Addresses
Primary practice location
1057 NW Grand Blvd
Oklahoma City, OK 73118-6039
Mailing address
1057 NW Grand Blvd
Oklahoma City, OK 73118-6039
Phone (405) 848-3719
Other names 1
- Grand Dental Studio
National Provider Directory
National Provider DirectoryLocations
1057 NW Grand Blvd
Oklahoma City, OK 73118
Phone (405) 840-3400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Oklahoma City, OK
- NPI 1235238619
-
- Dentist
- Oklahoma City, OK
- NPI 1700985181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1073775573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 NW GRAND BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731186039",
"telephone_number": "405-848-3719",
"fax_number": "405-848-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 NW GRAND BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731186039",
"telephone_number": "405-848-3719",
"fax_number": "405-848-9741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "KIRK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-848-3719",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OK",
"license": "5116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grand Dental Studio",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.