Organization Active NPI

WT Dental PLLC

  • General Practice Dentistry
  • Claremore, OK
National Provider Identifier
1255413399
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3922 Issued in OK
Legal business name
WT DENTAL PLLC
Practice address
1222 N Florence
Suite B
Claremore, OK 74017-3147
Phone
(918) 341-3933
Fax
(918) 342-8820
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Dr. John B Battle, DDSNPI 1235397498
Title
President
Phone
(918) 341-3933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3922 OK Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5778 OK

Addresses

Primary practice location

1222 N Florence
Suite B
Claremore, OK 74017-3147

Mailing address

1222 N Florence
Suite B
Claremore, OK 74017-3147
Phone (918) 341-3933

Other identifiers 1

IdentifierTypeStateIssuer
200066360MedicaidOK

National Provider Directory

National Provider Directory

Locations

1222 N Florence Ave
Ste B
Claremore, OK 74017
Phone (918) 341-3933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1255413399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 N FLORENCE",
            "address_2": "SUITE B",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173147",
            "telephone_number": "918-341-3933",
            "fax_number": "918-342-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 N FLORENCE",
            "address_2": "SUITE B",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173147",
            "telephone_number": "918-341-3933",
            "fax_number": "918-342-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-341-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3922",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5778",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200066360",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.