Joseph Solomon Treanor, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6936 Issued in OK

Practice address

1610 Walnut Dr
Ardmore, OK 73401-2331

Phone

(580) 504-7586

NPI assigned

Jun 19, 2017

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

State licenses

Practice roles

Locations

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.

• Walnut Ranch Dental, PLLC

  • Dental Clinic/Center
  • Ardmore, OK
  • NPI 1902409170
  NPD Authorized official

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1154851392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WOODS LN",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011159",
            "telephone_number": "580-504-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 WALNUT DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012331",
            "telephone_number": "580-504-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREANOR",
        "first_name": "JOSEPH",
        "middle_name": "SOLOMON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Todd
• Rebekah Tolbert
• Tony Stretesky DDS
• Totalcare Comprehensive Home Health Supply, LTD.
• Travis M Storts
• Triad Complete Healthcare A12 LLC
• Joel Keith Troop, M.D.
• Carol Ann Trovato, M.S
• Fasil Demere Tsehayu
• Jobrena Tucker

• Dentist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.