Individual provider Active NPI

Julie Jo Storm, D.M.D.

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1124330592
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6242 Issued in OK
Practice address
7901 NE 10TH St
B103
Oklahoma City, OK 73110-3600
Phone
(405) 737-0404
Fax
(405) 737-0934
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D8013 AZ
Dentist 122300000X 6242 OK Primary

Addresses

Primary practice location

7901 NE 10TH St
B103
Oklahoma City, OK 73110-3600

Mailing address

7901 NE 10TH St
B103
Oklahoma City, OK 73110-3600
Phone (405) 737-0404

Other names 1

  • Julie Jo Powell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160309000696 OK Order and Referring Only - DentistPractitioner - Dentist 2567768492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D8013AZMDGeneral Practice Dentistry
6242OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julie J Storm DMD PLLC PastSince Jun 1, 2012 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.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1124330592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 NE 10TH ST",
            "address_2": "B103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731103600",
            "telephone_number": "405-737-0404",
            "fax_number": "405-737-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 NE 10TH ST",
            "address_2": "B103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731103600",
            "telephone_number": "405-737-0404",
            "fax_number": "405-737-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "JULIE",
        "middle_name": "JO",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D8013",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "POWELL",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.