Oklahoma Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

458428 Issued in OK

Legal business name

OKLAHOMA ENDODONTICS

Practice address

1008 NW Grand Blvd
Suite a
Oklahoma City, OK 73118

Phone

(405) 843-9330

Fax

(405) 848-4048

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Brian Shadid, DDS MSD PCNPI 1578721726

Title

Partner

Phone

(405) 843-9330

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• David Brian Shadid, DDS MSD

  • Endodontics
  • Oklahoma City, OK
  • NPI 1578721726
  NPD (past) Authorized official
• Dennis Allan Leseberg, DDS MS

  • Endodontics
  • Oklahoma City, OK
  • NPI 1104084359
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174607261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 NW GRAND BLVD",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73118",
            "telephone_number": "405-843-9330",
            "fax_number": "405-848-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 NW GRAND BLVD",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73118",
            "telephone_number": "405-843-9330",
            "fax_number": "405-848-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHADID",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "405-843-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD PC"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OK",
            "license": "458428",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OK",
            "license": "512734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Department of Mental Health and Substance Abuse
• Oklahoma Department of Mental Health and Substance Abuse
• Oklahoma Department of Mental Health and Substance Abuse Services
• Oklahoma Diagnostic Imaging LTD
• Oklahoma Emergency Physicians LLC
• Oklahoma Eye Associates PLLC
• Oklahoma Eye Surgeons PLLC
• Oklahoma Family Dentistry, Okc LLC
• Oklahoma Family Faith Hospice Care Inc.
• Oklahoma Foot and Ankle Center

• All providers in Oklahoma City, OK
• Endodontics in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.