Organization Active NPI

Andrew Minnigh, DDS, P.L.L.C

  • General Practice Dentistry
  • Shawnee, OK
National Provider Identifier
1205203189
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6502 Issued in OK
Legal business name
ANDREW MINNIGH, DDS, P.L.L.C
Practice address
1414 N Kennedy Ave
Sutie 102
Shawnee, OK 74801-4700
Phone
(405) 273-3270
Fax
(405) 273-3467
NPI assigned
Aug 27, 2015
Last updated
Aug 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Christopher Andrew Minnigh, DDSNPI 1972949576
Title
Owner
Phone
(405) 273-3270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6502 OK Primary

Addresses

Primary practice location

1414 N Kennedy Ave
Sutie 102
Shawnee, OK 74801-4700

Mailing address

1414 N Kennedy Ave
Sutie 102
Shawnee, OK 74801-4700
Phone (405) 273-3270

National Provider Directory

National Provider Directory

Locations

1414 N Kennedy Ave
Ste 102
Shawnee, OK 74801
Phone (405) 273-3270

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1205203189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N KENNEDY AVE",
            "address_2": "SUTIE 102",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748014700",
            "telephone_number": "405-273-3270",
            "fax_number": "405-273-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N KENNEDY AVE",
            "address_2": "SUTIE 102",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748014700",
            "telephone_number": "405-273-3270",
            "fax_number": "405-273-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW MINNIGH, DDS, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "MINNIGH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-273-3270",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.