NPIMap

Organization Active NPI

Richard M Freeman DDS PC

Doing business as Freeman Family Dentistry

  • General Practice Dentistry
  • Moore, OK
National Provider Identifier
1114912649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5546 Issued in OK
Legal business name
RICHARD M FREEMAN DDS PC
Doing business as
Freeman Family Dentistry
Practice address
500 N Eastern Ave
Moore, OK 76160
Phone
(405) 912-3300
Fax
(405) 912-2278
NPI assigned
Sep 12, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard M Freeman, DDSNPI 1184734352
Title
President
Phone
(405) 912-3300

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5546 OK Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5693 OK

Addresses

Primary practice location

500 N Eastern Ave
Moore, OK 76160

Mailing address

500 N Eastern Ave
Moore, OK 76160
Phone (405) 912-3300

Other names 1

  • Freeman Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

500 N Eastern Ave
Moore, OK 73160
Phone (405) 759-6109

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114912649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N EASTERN AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "76160",
            "telephone_number": "405-912-3300",
            "fax_number": "405-912-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N EASTERN AVE",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "76160",
            "telephone_number": "405-912-3300",
            "fax_number": "405-912-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M FREEMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-912-3300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5546",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freeman Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.