Organization Active NPI

Norman Dental and Implants LLC

  • Dental Clinic/Center
  • Norman, OK
National Provider Identifier
1225760168
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NORMAN DENTAL AND IMPLANTS LLC
Practice address
2510 Tee Dr
Norman, OK 73069-6379
Phone
(405) 447-4400
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Brad Nelson
Title
Owner
Phone
(405) 260-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2510 Tee Dr
Norman, OK 73069-6379

Mailing address

2510 Tee Dr
Norman, OK 73069-6379
Phone (405) 447-4400

Other identifiers 1

IdentifierTypeStateIssuer
1245725589MedicaidOK

National Provider Directory

National Provider Directory

Locations

2510 Tee Dr
Norman, OK 73069
Phone (405) 447-4400

Practitioners & affiliated clinicians

Practitioners 2

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": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1225760168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 TEE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696379",
            "telephone_number": "405-447-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 TEE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696379",
            "telephone_number": "405-447-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN DENTAL AND IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-260-6080"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245725589",
            "state": "OK"
        }
    ],
    "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 Feb 5, 2024; 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.