Organization Active NPI

Masterpiece Smiles

  • Dental Clinic/Center
  • Tulsa, OK
National Provider Identifier
1245406529
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3457 Issued in OK
Legal business name
MASTERPIECE SMILES
Practice address
8908 S Yale Ave
#430
Tulsa, OK 74137-3557
Phone
(918) 496-2481
Fax
(918) 496-3749
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Jan L Cobble, D.D.S.
Title
Dentist
Phone
(918) 496-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3457 OK Primary

Addresses

Primary practice location

8908 S Yale Ave
#430
Tulsa, OK 74137-3557

Mailing address

8908 S Yale Ave
#430
Tulsa, OK 74137-3557
Phone (918) 496-2481

National Provider Directory

National Provider Directory
Tax ID family
Jan L Cobble DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8908 S Yale Ave
Ste 430
Tulsa, OK 74137
Phone (918) 496-2481

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1245406529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 S YALE AVE",
            "address_2": "#430",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373557",
            "telephone_number": "918-496-2481",
            "fax_number": "918-496-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8908 S YALE AVE",
            "address_2": "#430",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373557",
            "telephone_number": "918-496-2481",
            "fax_number": "918-496-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERPIECE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "COBBLE",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-496-2481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "3457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.