Brent Shannon Dobson, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5477 Issued in OK

Practice address

12813 E 101St PL N
Owasso, OK 74055-4662

Phone

(918) 272-4242

Fax

(918) 272-5753

NPI assigned

Jul 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Owasso Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Owasso, OK
  • NPI 1346548369
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1134328016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12813 E 101ST PL N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554662",
            "telephone_number": "918-272-4242",
            "fax_number": "918-272-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12813 E 101ST PL N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554662",
            "telephone_number": "918-272-4242",
            "fax_number": "918-272-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "BRENT",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "5477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Laboratory of Oklahoma LLC
• Emma Brummet Dirrim, M.S.
• Gregory Paul Disalvatore, DO
• Kelli Amanda Dobbs, APRN-CNP
• Tara Dobbs
• Teresa Ann Dollar, APRN
• Dr James Aaron Henley DO LLC
• Dr. Dust Chiropractic & Rehabilitation LLC
• Dr. McDonald'S ENT Allergy Center, PLLC
• Albert Eugene Drake Jr., DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Owasso, OK
• Providers in Owasso, OK by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.