Active NPI
Trischa Ann Clarke, D.D.S.
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1205932480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5859
- Practice address
- 940 NE 13TH St
RM 2102
Oklahoma City, OK 73104-5008 - Phone
- (405) 271-4750
- Fax
- (405) 271-4055
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5859 | OK | Primary |
Addresses
Primary practice location
940 NE 13TH St
RM 2102
Oklahoma City, OK 73104-5008
Mailing address
924 SW 36TH St
Moore, OK 73160-7696
Phone (405) 799-5675
Other names 1
- Dr. Trischa Ann Lechtenberg
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 |
|---|---|---|---|
| 5859 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205932480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 SW 36TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731607696",
"telephone_number": "405-799-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 NE 13TH ST",
"address_2": "RM 2102",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045008",
"telephone_number": "405-271-4750",
"fax_number": "405-271-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "TRISCHA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "5859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRISCHA",
"last_name": "LECHTENBERG",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.