NPIMap

Organization Active NPI

Antlers Family Dentist PC

  • General Practice Dentistry
  • Antlers, OK
National Provider Identifier
1245365907
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5049 Issued in OK
Legal business name
ANTLERS FAMILY DENTIST PC
Practice address
107 NE F St
Antlers, OK 74523-2603
Phone
(580) 298-5581
Fax
(580) 298-3310
NPI assigned
Feb 22, 2007
Last updated
Mar 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Dr. Twana Duncan, DDSNPI 1356354179
Title
President
Phone
(580) 298-5581

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 5049 OK Primary

Addresses

Primary practice location

107 NE F St
Antlers, OK 74523-2603

Mailing address

107 NE F St
Antlers, OK 74523-2603
Phone (580) 298-5581

Other identifiers 2

IdentifierTypeStateIssuer
796050OtherOKUNITED CONCORDIA PPO
100846880AMedicaidOK

National Provider Directory

National Provider Directory

Locations

107 NE F St
Antlers, OK 74523
Phone (580) 298-5581

Practitioners & affiliated clinicians

Practitioners 3

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1245365907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NE F ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745232603",
            "telephone_number": "580-298-5581",
            "fax_number": "580-298-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NE F ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745232603",
            "telephone_number": "580-298-5581",
            "fax_number": "580-298-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTLERS FAMILY DENTIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "TWANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-298-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PPO",
            "identifier": "796050",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100846880A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antlers, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.