Sdpokc, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SDPOKC, PLLC

Practice address

3613 NW 56TH St Ste 105
Oklahoma City, OK 73112-4520

Phone

(405) 946-2455

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Sara Brown

Title

Credentialing Manager

Phone

(918) 998-0996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1245903053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 NW 56TH ST STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124520",
            "telephone_number": "405-946-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDPOKC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "918-998-0996"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E M Scruggs, LMFT
• Steven Merrill Scruggs, PSY.D.
• SCWW LLC
• SDC Dental Practice of Ohio, LLC
• SDC Dental Practice of Oklahoma, PLLC
• SDX Home Care Operations, LLC
• Joshua Seaberg
• Lyndi Ann Seabolt-Shimek
• Cynthia Lorraine Seabourn, BSN, RN
• Erin Seabrook

• Dentist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.