Active NPI
Katherine Ann Gamble, DMD
- General Practice Dentistry
- Midwest City, OK
National Provider Identifier
1275159162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7374
- Practice address
- 800 S Douglas Blvd
Midwest City, OK 73130-4215 - Phone
- (405) 733-1641
- NPI assigned
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7374 | OK | Primary |
Addresses
Primary practice location
800 S Douglas Blvd
Midwest City, OK 73130-4215
Mailing address
1705 Westminster PL
Nichols Hills, OK 73120-1001
Phone (405) 471-1730
Other practice location 1
317 NE 13th St
Oklahoma City, OK 73104-2835
Phone (405) 241-1299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7374 | OK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1275159162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 WESTMINSTER PL",
"city": "NICHOLS HILLS",
"state": "OK",
"postal_code": "731201001",
"telephone_number": "405-471-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S DOUGLAS BLVD",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731304215",
"telephone_number": "405-733-1641"
}
],
"practiceLocations": [
{
"address_1": "317 NE 13th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731042835",
"country_code": "US",
"telephone_number": "405-241-1299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAMBLE",
"first_name": "KATHERINE",
"middle_name": "ANN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-17",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.