Individual provider Active NPI

Thai-an Doan, DDS, PC

  • Pediatric Dentistry
  • Oklahoma City, OK
National Provider Identifier
1194828558
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
546165 Issued in OK
Practice address
14228 Barbour Ave
Oklahoma City, OK 73134
Phone
(405) 752-5437
Fax
(405) 748-6684
NPI assigned
Sep 7, 2006
Last updated
Aug 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 546165 OK Primary

Addresses

Primary practice location

14228 Barbour Ave
Oklahoma City, OK 73134

Mailing address

14228 Barbour Ave
Oklahoma City, OK 73134-3410
Phone (405) 752-5437

Other practice location 1

11318 N May
Suite B
Oklahoma City, OK 73120
Phone (405) 752-5437

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

LicenseStateTypeSpecialty
546165OKMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thai-an Doan D.D.S. P.C. Pediatric Dentistry 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1194828558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14228 BARBOUR AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731343410",
            "telephone_number": "405-752-5437",
            "fax_number": "405-748-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14228 BARBOUR AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73134",
            "telephone_number": "405-752-5437",
            "fax_number": "405-748-6684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11318 N May",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73120",
            "country_code": "US",
            "telephone_number": "405-752-5437",
            "fax_number": "405-748-6684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOAN",
        "first_name": "THAI-AN",
        "name_prefix": "Ms.",
        "credential": "DDS, PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "546165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 21, 2018; 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.