Norman Surgical Arts Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3765 AND 5216 Issued in OK

Legal business name

NORMAN SURGICAL ARTS CENTER

Practice address

640 24TH Ave SW
Norman, OK 73069-3913

Phone

(405) 364-6777

Fax

(405) 364-6789

NPI assigned

Sep 20, 2006

Last updated

Feb 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Merlin Edmund Braly, DDS

Title

Physician

Phone

(405) 364-6777

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Murlin Edmund Braly, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Oklahoma City, OK
  • NPI 1740271469
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1265530083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269029",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269029",
            "telephone_number": "405-848-7974",
            "fax_number": "405-848-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693913",
            "telephone_number": "405-364-6777",
            "fax_number": "405-364-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN SURGICAL ARTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "BRALY",
        "authorized_official_first_name": "MERLIN",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-364-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "3765 AND 5216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200088680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norman Regional Providers Specialty Care
• Norman Regional Sports & Occupational Medicin (NRH Occupational Medicine)
• Norman Smile Center PC
• Norman SNF Operations, LLC (24th Place)
• Norman Specialty Hospital LLC (Norman Specialty Hospital)
• Norman Surgical Arts Center PLLC
• Norman Surgical Arts Center PLLC
• Norman Surgical Associates LLC
• Norman Ultrasound Associates LLC (Brookhaven Diagnostic Imaging Center)
• Norman Urology Associates PC

• Oral and Maxillofacial Surgery (Dentist) in Norman, OK
• Providers in Norman, OK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.