NPIMap

Individual provider Active NPI

Gary D. Nabors Jr., DDS

  • General Practice Dentistry
  • Noble, OK
National Provider Identifier
1235333535
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5955 Issued in OK
Practice address
1009 Parkwoods Dr
Noble, OK 73068
Phone
(405) 872-9597
Fax
(405) 872-5271
NPI assigned
Jun 12, 2007
Last updated
Jul 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5955 OK Primary

Addresses

Primary practice location

1009 Parkwoods Dr
Noble, OK 73068

Mailing address

305-A N. Main St.
Noble, OK 73068
Phone (405) 872-9597

Other names 1

  • Gabe D. Nabors Jr. Other name

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

LicenseStateTypeSpecialty
5955OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Dental Lodge General Practice Past Accepting new patients
Dental Lodge of Noble, PLLC Past Accepting new patients
Dental Lodge, PLC Past Accepting new patients
Oklahoma Anesthesia Specialists PLLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1235333535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305-A N. MAIN ST.",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "73068",
            "telephone_number": "405-872-9597",
            "fax_number": "405-872-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 PARKWOODS DR",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "73068",
            "telephone_number": "405-872-9597",
            "fax_number": "405-872-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABORS",
        "first_name": "GARY",
        "middle_name": "D.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABE",
            "last_name": "NABORS",
            "middle_name": "D.",
            "suffix": "JR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Noble, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.