NPIMap

Organization Active NPI

CMH Dental

  • General Practice Dentistry
  • Yukon, OK
National Provider Identifier
1184895153
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5788 Issued in OK
Legal business name
CMH DENTAL
Practice address
416 S Mustang Rd
Suite a
Yukon, OK 73099-7314
Phone
(405) 265-3131
Fax
(405) 265-2479
NPI assigned
Mar 18, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Courtney Marlene Housley, DDSNPI 1952451460
Title
Owner
Phone
(405) 265-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5788 OK Primary

Addresses

Primary practice location

416 S Mustang Rd
Suite a
Yukon, OK 73099-7314

Mailing address

416 S Mustang Rd
Suite a
Yukon, OK 73099-7314
Phone (405) 265-3131

National Provider Directory

National Provider Directory

Locations

416 S Mustang Rd
Ste A
Yukon, OK 73099
Phone (405) 265-3131

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.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1184895153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S MUSTANG RD",
            "address_2": "SUITE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997314",
            "telephone_number": "405-265-3131",
            "fax_number": "405-265-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S MUSTANG RD",
            "address_2": "SUITE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997314",
            "telephone_number": "405-265-3131",
            "fax_number": "405-265-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "HOUSLEY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-265-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.