Melinda Lea Ahrend, D.D.S
Individual provider Active NPI Dentist · Konawa, OK
NPI 1154515690 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1154515690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5982 (OK)
- Practice address
- 527 W 3Rd St
Konawa, OK 74849-1415 - Phone
- (580) 925-3286
- Fax
- (580) 925-2362
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250501000509 | OK | Practitioner - Dentist | 2365968401 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Oklahoma Family Medical Center Inc | Current |
Accepting new patients | |
| Central Oklahoma Family Medical Center, Inc | Current |
Accepting new patients | |
| Central Oklahoma Family Medical Center, Inc. | Current | Accepting new patients |
Locations
1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700
527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5982 | OK | Yes |
Addresses
Primary practice location
527 W 3Rd St
Konawa, OK 74849-1415
Mailing address
3707 W 108TH CT
Sapulpa, OK 74066-1815
Phone (918) 518-6595
Other practice location 1
31870 East Hwy 51
Coweta, OK 74429
Phone (918) 279-3200
Other names
- Mindy Lea Boatwright
Other providers in Konawa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.