Organization Active NPI

Zachary D. Moffitt, DDS, PLLC

  • General Practice Dentistry
  • Noble, OK
National Provider Identifier
1245468602
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ZACHARY D. MOFFITT, DDS, PLLC
Practice address
333 E. Etowah Rd
Noble, OK 73068
Phone
(405) 872-0440
Fax
(405) 872-0442
NPI assigned
Jun 24, 2009
Last updated
Jun 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Dr. Zachary Dode Moffitt
Title
Sole Member/President/Dentist
Phone
(405) 872-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

333 E. Etowah Rd
Noble, OK 73068

Mailing address

PO Box 7
Noble, OK 73068
Phone (405) 872-0440

National Provider Directory

National Provider Directory

Locations

333 E Etowah Rd
Noble, OK 73068
Phone (405) 872-0440

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1245468602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "73068",
            "telephone_number": "405-872-0440",
            "fax_number": "405-872-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E. ETOWAH RD",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "73068",
            "telephone_number": "405-872-0440",
            "fax_number": "405-872-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY D. MOFFITT, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "DODE",
        "authorized_official_title_or_position": "SOLE MEMBER/PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "405-872-0440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 24, 2009; 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.