Organization Active NPI

Dental Design Studio

  • Dentist
  • Norman, OK
National Provider Identifier
1205139656
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL DESIGN STUDIO
Practice address
561 Merchant Drive
Norman, OK 73069
Phone
(405) 321-6166
Fax
(405) 329-3369
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Suzanne Leeviraphan
Title
Office Manager
Phone
(405) 321-6166

Specialties & licenses 1

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

Addresses

Primary practice location

561 Merchant Drive
Norman, OK 73069

Mailing address

561 Merchant Drive
Norman, OK 73069
Phone (405) 321-6166

National Provider Directory

National Provider Directory

Locations

561 Merchant Dr
Norman, OK 73069
Phone (405) 321-6166

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1205139656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 MERCHANT DRIVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73069",
            "telephone_number": "405-321-6166",
            "fax_number": "405-329-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 MERCHANT DRIVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73069",
            "telephone_number": "405-321-6166",
            "fax_number": "405-329-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DESIGN STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "LEEVIRAPHAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-321-6166"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.