Active NPI
Michael Sanchez DDS
- General Practice Dentistry
- Owasso, OK
National Provider Identifier
1073789293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5330
- Legal business name
- MICHAEL SANCHEZ DDS
- Practice address
- 12150 E 96TH St N
Suite 106
Owasso, OK 74055-5338 - Phone
- (918) 272-0707
- Fax
- (918) 272-0709
- NPI assigned
- May 7, 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 Phillip Sanchez, DDS
- Title
- Dentist Owner
- Phone
- (918) 272-0707
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5330 | OK | Primary |
Addresses
Primary practice location
12150 E 96TH St N
Suite 106
Owasso, OK 74055-5338
Mailing address
12150 E 96TH St N
Suite 106
Owasso, OK 74055-5338
Phone (918) 272-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952396137 | Other | OK | TYPE 1 NPI |
Other names 1
- Renaissance Dental
National Provider Directory
National Provider DirectoryLocations
12150 E 96th St N
Ste 106
Owasso, OK 74055
Phone (918) 272-0707
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Owasso, OK
- NPI 1952396137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210118400000",
"number": "1073789293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12150 E 96TH ST N",
"address_2": "SUITE 106",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555338",
"telephone_number": "918-272-0707",
"fax_number": "918-272-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12150 E 96TH ST N",
"address_2": "SUITE 106",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555338",
"telephone_number": "918-272-0707",
"fax_number": "918-272-0709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL SANCHEZ DDS",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-07",
"last_updated": "2008-05-07",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "DENTIST OWNER",
"authorized_official_telephone_number": "918-272-0707",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "5330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI",
"identifier": "1952396137",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Renaissance Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.