Rick L. Willingham, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5038 Issued in OK

Legal business name

RICK L. WILLINGHAM, D.D.S., P.C.

Practice address

1700 Professional Cir
Yukon, OK 73099-6470

Phone

(405) 354-4893

Fax

(405) 350-3283

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Rick L. Willingham, D.D.S.

Title

Owner/Dentist

Phone

(405) 354-4893

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• WILLINGHAM & REITER, D.D.S. Other name

Locations

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1205002243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PROFESSIONAL CIR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996470",
            "telephone_number": "405-354-4893",
            "fax_number": "405-350-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PROFESSIONAL CIR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996470",
            "telephone_number": "405-354-4893",
            "fax_number": "405-350-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK L. WILLINGHAM, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "WILLINGHAM",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "405-354-4893",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1407848765",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1366434649",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANCE",
            "identifier": "884113",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLINGHAM & REITER, D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shannon G Resto, NNP-BC
• Restoration Youth and Family Services
• Danelle M Richards, MD
• Alexis Briana Richardson, BCBA
• Reginald Anthony Richardson
• Missy Riddles, LPC
• Alysia Dawn Ridgeway-Walton
• Rachel Hope Risner, ARNP
• Kristi Anne Robare, P.T.
• Curtis E Roberson, OD

• General Practice Dentistry in Yukon, OK
• Providers in Yukon, OK by specialty
• General Practice Dentistry in Oklahoma

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