Active NPI
Chris Alan Poore, DDS, MS
- Dentist
- Okla. City, OK
National Provider Identifier
1124178348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5878
- Practice address
- 9112 N. May Ave.
Okla. City, OK 73120 - Phone
- (405) 947-0486
- Fax
- (405) 942-4392
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5878 | OK | Primary |
Addresses
Primary practice location
9112 N. May Ave.
Okla. City, OK 73120
Mailing address
9112 N. May Ave.
Okla. City, OK 73120
Phone (405) 947-0486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 10, 2016 through May 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5878 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Center for Implants and Periodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Oklahoma City, OK
- NPI 1609092642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1124178348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9112 N. MAY AVE.",
"city": "OKLA. CITY",
"state": "OK",
"postal_code": "73120",
"telephone_number": "405-947-0486",
"fax_number": "405-942-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9112 N. MAY AVE.",
"city": "OKLA. CITY",
"state": "OK",
"postal_code": "73120",
"telephone_number": "405-947-0486",
"fax_number": "405-942-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POORE",
"first_name": "CHRIS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Okla. City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.