Organization Active NPI

Windmill Dentistry PLLC

  • Dentist
  • Muskogee, OK
National Provider Identifier
1245782499
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3833 Issued in OK
Legal business name
WINDMILL DENTISTRY PLLC
Practice address
2313 E Okmulgee St
Muskogee, OK 74403-5924
Phone
(918) 910-5227
NPI assigned
Nov 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Max Dwayne Bird, D.D.S.
Title
Dentist
Phone
(918) 910-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3833 OK Primary

Addresses

Primary practice location

2313 E Okmulgee St
Muskogee, OK 74403-5924

Mailing address

2313 E. Okmulgee St
Muskogee, OK 74403
Phone (918) 910-5227

National Provider Directory

National Provider Directory

Locations

2313 E Okmulgee St
Muskogee, OK 74403
Phone (918) 910-5227

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1245782499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 E. OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74403",
            "telephone_number": "918-910-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 E OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744035924",
            "telephone_number": "918-910-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDMILL DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-910-5227",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "3833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.