Organization Active NPI

Jarred Dewbre DDS PLLC

  • Dental Clinic/Center
  • Edmond, OK
National Provider Identifier
1154058642
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JARRED DEWBRE DDS PLLC
Practice address
169 E 33Rd St
Edmond, OK 73013-4602
Phone
(405) 341-5030
Fax
(405) 471-6550
NPI assigned
Aug 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Aryn Sherfield
Title
Credentialing Coordinator
Phone
(877) 667-7669

Specialties & licenses 1

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

Addresses

Primary practice location

169 E 33Rd St
Edmond, OK 73013-4602

Mailing address

169 E 33Rd St
Edmond, OK 73013-4602
Phone (877) 667-7669

National Provider Directory

National Provider Directory

Locations

169 E 33rd St
Edmond, OK 73013
Phone (405) 341-3030

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1154058642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 E 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134602",
            "telephone_number": "877-667-7669",
            "fax_number": "888-920-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 E 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134602",
            "telephone_number": "405-341-5030",
            "fax_number": "405-471-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARRED DEWBRE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "SHERFIELD",
        "authorized_official_first_name": "ARYN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "877-667-7669"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.