Active NPI
Mary K. Casey, DDS, PC
Doing business as CJ Dental
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1174790505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4749
- Legal business name
- MARY K. CASEY, DDS, PC
- Doing business as
- CJ Dental
- Practice address
- 1111 N Lee Ave
Suite 331
Oklahoma City, OK 73103-2600 - Phone
- (405) 236-2094
- NPI assigned
- May 14, 2008
- Last updated
- May 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary K. Casey, DDS
- Title
- Owner
- Phone
- (405) 231-8796
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4749 | OK | Primary |
Addresses
Primary practice location
1111 N Lee Ave
Suite 331
Oklahoma City, OK 73103-2600
Mailing address
1111 N Lee Ave
Suite 331
Oklahoma City, OK 73103-2600
Phone (405) 236-2094
Other names 1
- CJ Dental
National Provider Directory
National Provider DirectoryLocations
1111 N Lee Ave
Ste 331
Oklahoma City, OK 73103
Phone (405) 232-9721
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1356478580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1174790505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N LEE AVE",
"address_2": "SUITE 331",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032600",
"telephone_number": "405-236-2094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N LEE AVE",
"address_2": "SUITE 331",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032600",
"telephone_number": "405-236-2094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY K. CASEY, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "CASEY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-231-8796",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "4749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CJ Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.