Organization Active NPI

Michael Sanchez DDS

  • General Practice Dentistry
  • Owasso, OK
National Provider Identifier
1073789293
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5330 Issued in OK
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

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Michael Phillip Sanchez, DDSNPI 1952396137
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1952396137OtherOKTYPE 1 NPI

Other names 1

  • Renaissance Dental Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.