Piper Dental Holdings LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PIPER DENTAL HOLDINGS LLC

Doing business as

Mannford Family Dentistry

Practice address

152 Coonrod Drive
Mannford, OK 74044

Phone

(918) 865-2247

NPI assigned

Feb 3, 2021

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam MooreNPI 1669671558

Title

Owner

Phone

(918) 865-2247

Specialties & licenses 1

Addresses

Other names 1

• Mannford Family Dentistry Doing business as

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam Moore, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1669671558
  NPD Authorized official
• Ronald Gerald Glass, D.D.S.

  • General Practice Dentistry
  • Mannford, OK
  • NPI 1407924301
  NPD (past)

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1114518941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "MANNFORD",
            "state": "OK",
            "postal_code": "740441328",
            "telephone_number": "918-865-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 COONROD DRIVE",
            "city": "MANNFORD",
            "state": "OK",
            "postal_code": "74044",
            "telephone_number": "918-865-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIPER DENTAL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-865-2247"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmoore@mannfordfamilydentistry.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "152 Coonrod Drive",
            "city": "Mannford",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mannford Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Morgan Mushrush, PTA
• Christa Nelson
• Lindsey Norman, FNP-C
• Angel Norrid
• Osu Center for Health Sciences (Osu-Aj Osu Medicine Mannford)
• R. Michael Eimen, D.O.
• Results Therapy Services LLC (Results Physical Therapy)
• Stephanie Ann Russell, RN, LMT
• Diane M Spear, RD
• Savannah Faith Stump, RN

• Dental Clinic/Center in Mannford, OK
• Providers in Mannford, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.