Active NPI
Oasis Dental Care, Inc.
- General Practice Dentistry
- Flagstaff, AZ
National Provider Identifier
1245489228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4850
- Legal business name
- OASIS DENTAL CARE, INC.
- Practice address
- 930 N Switzer Canyon Dr
Suite 200
Flagstaff, AZ 86001-4824 - Phone
- (928) 774-4030
- Fax
- (928) 214-7326
- NPI assigned
- Sep 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank R. Olivas, DDS
- Title
- Owner/Dentist
- Phone
- (928) 774-4030
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4850 | AZ | Primary |
| General Practice Dentistry | 1223G0001X | 7153 | AZ |
Addresses
Primary practice location
930 N Switzer Canyon Dr
Suite 200
Flagstaff, AZ 86001-4824
Mailing address
930 N Switzer Canyon Dr
Suite 200
Flagstaff, AZ 86001-4824
Phone (928) 774-4030
National Provider Directory
National Provider Directory- Tax ID family
- Oasis Dental Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Flagstaff, AZ
- NPI 1518002146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1245489228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 N SWITZER CANYON DR",
"address_2": "SUITE 200",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014824",
"telephone_number": "928-774-4030",
"fax_number": "928-214-7326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 N SWITZER CANYON DR",
"address_2": "SUITE 200",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014824",
"telephone_number": "928-774-4030",
"fax_number": "928-214-7326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS DENTAL CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "OLIVAS",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "928-774-4030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "4850",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "7153",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.