Active NPI
John R. McDavid, DDS
- General Practice Dentistry
- Warr Acres, OK
National Provider Identifier
1194766188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3597
- Practice address
- 3919 N Macarthur Blvd
Warr Acres, OK 73122-2005 - Phone
- (405) 440-0113
- Fax
- (405) 470-1838
- NPI assigned
- Jun 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3597 | OK | Primary |
| Public Health Dentistry | 1223D0001X | 0016442 | TX |
Addresses
Primary practice location
3919 N Macarthur Blvd
Warr Acres, OK 73122-2005
Mailing address
3919 N Macarthur Blvd
Warr Acres, OK 73122-2005
Phone (405) 440-0113
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 |
|---|---|---|---|
| 0016442 | TX | MD | Public Health Dentist |
| 3597 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Dental, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Warr Acres, OK
- NPI 1952441289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1194766188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3919 N MACARTHUR BLVD",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731222005",
"telephone_number": "405-440-0113",
"fax_number": "405-470-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 N MACARTHUR BLVD",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731222005",
"telephone_number": "405-440-0113",
"fax_number": "405-470-1838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDAVID",
"first_name": "JOHN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "3597",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "TX",
"license": "0016442",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warr Acres, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.