Surat Attaphitaya, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22054 Issued in TX

Practice address

900 E Prospect Ave
Ste 800
Ponca City, OK 74601-1600

Phone

(580) 765-2000

Fax

(580) 765-2001

NPI assigned

Nov 8, 2006

Last updated

May 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1164592259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E PROSPECT AVE",
            "address_2": "STE 800",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011600",
            "telephone_number": "580-765-2000",
            "fax_number": "580-765-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E PROSPECT AVE",
            "address_2": "STE 800",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011600",
            "telephone_number": "580-765-2000",
            "fax_number": "580-765-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTAPHITAYA",
        "first_name": "SURAT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "54986",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "184",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Anstine
• Laurie Scott Appleman
• Shaun Michael Arant
• Craig Vincent Archer
• Amanda Arie
• Avenue of Hope Assoc.
• Rachael Ann Backus
• Taelor Baetz, PA
• Mary E Bahruth-Poskey, M.S.,C.C.C.
• Lionel Everett Bair II, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Ponca City, OK
• Providers in Ponca City, 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 May 21, 2012; 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.