Organization Active NPI

Venk Dental PLLC

  • Dental Clinic/Center
  • Norman, OK
National Provider Identifier
1144895392
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VENK DENTAL PLLC
Practice address
709 W Main St
Norman, OK 73069-6918
Phone
(405) 321-6506
Fax
(405) 360-4570
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Dr. Amanda VenkNPI 1558649806
Title
Owner
Phone
(405) 321-6506

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

709 W Main St
Norman, OK 73069-6918

Mailing address

709 W Main St
Norman, OK 73069-6918
Phone (405) 321-6506

Other names 1

  • Norman Family Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://mysecurepractice.com/Account/UserManager

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240405000460 OK DME Supplier - Oral Surgery - Dentist 2769820059 Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1144895392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696918",
            "telephone_number": "405-321-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696918",
            "telephone_number": "405-321-6506",
            "fax_number": "405-360-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "VENK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-321-6506",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mysecurepractice.com/Account/UserManager",
            "affiliation": "N",
            "address_1": "709 W Main St",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730696918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Norman Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.