Active NPI
Wesley E Nipper, DDS
- General Practice Dentistry
- Ponca City, OK
National Provider Identifier
1194719781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- OK-5121
- Practice address
- 400 Fairview Ave
Ponca City, OK 74601-1920 - Phone
- (580) 762-7551
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | OK-5121 | OK | Primary |
Addresses
Primary practice location
400 Fairview Ave
Ponca City, OK 74601-1920
Mailing address
400 Fairview Ave
Ponca City, OK 74601-1910
Phone (580) 762-7551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OK-5121 | OK | MD | General Practice Dentistry |
Interoperability endpoints
- https://api.platform.athenahealth.com/5562/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194719781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FAIRVIEW AVE",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746011910",
"telephone_number": "580-762-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FAIRVIEW AVE",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746011920",
"telephone_number": "580-762-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIPPER",
"first_name": "WESLEY",
"middle_name": "E",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "OK-5121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.