Organization Active NPI

Perkins Dental Group

  • Dentist
  • Edmond, OK
National Provider Identifier
1194106013
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6256 Issued in OK
Legal business name
PERKINS DENTAL GROUP
Practice address
3901 E Covell Rd
Edmond, OK 73034-6909
Phone
(405) 474-6362
Fax
(405) 421-0744
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Dr. Joshua V Brasher, DDS
Title
Owner
Phone
(405) 474-6362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6256 OK Primary

Addresses

Primary practice location

3901 E Covell Rd
Edmond, OK 73034-6909

Mailing address

1333 E Danforth Rd
Edmond, OK 73034-3201
Phone (405) 474-6362

National Provider Directory

National Provider Directory

Locations

1333 E Danforth Rd
Edmond, OK 73034
Phone (405) 359-9696

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1194106013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 E DANFORTH RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343201",
            "telephone_number": "405-474-6362",
            "fax_number": "405-421-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346909",
            "telephone_number": "405-474-6362",
            "fax_number": "405-421-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-474-6362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "6256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.