NPIMap

Organization Active NPI

Dental Professionals of Ok, PC

Doing business as Complete Dental Care of OKC

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1174951842
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF OK, PC
Doing business as
Complete Dental Care of OKC
Practice address
518 W I 240 Service Rd
Oklahoma City, OK 73139-4400
Phone
(405) 416-5280
Fax
(405) 601-1070
NPI assigned
Oct 16, 2013
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF OK, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Jennifer Hoelscher
Title
Insurance/Credentialing
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

518 W I 240 Service Rd
Oklahoma City, OK 73139-4400

Mailing address

518 W I 240 Service Rd
Oklahoma City, OK 73139-4400
Phone (405) 416-5280

Other names 1

  • Complete Dental Care of OKC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals of Oklahoma PC10 organizations share this tax ID, including this one
Part of
Dental Professionals of Oklahoma PC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

518 W I 240 Service Rd
Oklahoma City, OK 73139
Phone (405) 416-5280

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.

  • Sarah Tariq
    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Plymouth, MN
    • NPI 1528441565

    General Practice

    NPD (past)

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1174951842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W I 240 SERVICE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731394400",
            "telephone_number": "405-416-5280",
            "fax_number": "405-601-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W I 240 SERVICE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731394400",
            "telephone_number": "405-416-5280",
            "fax_number": "405-601-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF OK, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF OK, PC",
        "enumeration_date": "2013-10-16",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "HOELSCHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Dental Care of OKC",
            "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 Jul 1, 2015; 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.