Individual provider Active NPI

Whitney Nicole Lamb, DDS

  • Dentist
  • Altus, OK
National Provider Identifier
1174727556
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5952 Issued in OK
Practice address
309 N. Hudson
Altus, OK 73521-1307
Phone
(580) 379-9200
Fax
(580) 379-9202
NPI assigned
Jun 12, 2007
Last updated
Jun 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5952 OK Primary

Addresses

Primary practice location

309 N. Hudson
Altus, OK 73521-1307

Mailing address

309 N. Hudson
309 N. Hudson
Altus, OKLAHOMA 73521
UM
Phone (580) 379-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823000740 OK Order and Referring Only - DentistPractitioner - Dentist 0042505505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitney N Lamb, DDS Family Dentistry CurrentSince Aug 28, 2022 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

309 N Hudson St
Altus, OK 73521
Phone (580) 379-9200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1174727556",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "309 N. HUDSON",
            "address_2": "309 N. HUDSON",
            "city": "ALTUS",
            "state": "OKLAHOMA",
            "postal_code": "73521",
            "telephone_number": "580-379-9200",
            "fax_number": "580-379-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N. HUDSON",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211307",
            "telephone_number": "580-379-9200",
            "fax_number": "580-379-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "WHITNEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.