Active NPI
Clint Eugene Pitt, D.D.S.
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1275854846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6207
- Practice address
- 1701 S Morgan Rd
Oklahoma City, OK 73128-7005 - Phone
- (405) 494-7799
- NPI assigned
- Jun 18, 2010
- Last updated
- Jun 16, 2023
- Sex
- Male
- 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 | 6207 | OK | Primary |
Addresses
Primary practice location
1701 S Morgan Rd
Oklahoma City, OK 73128-7005
Mailing address
1701 S Morgan Rd
Oklahoma City, OK 73128-7005
Phone (405) 494-7799
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 |
|---|---|---|---|
| 6207 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clint Pitt, D.D.S., P.C. | General Practice | Past | Accepting new patients |
| Okc Dental Health Associates, P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1265773071
-
dba Lifetime Dentistry of Chickasha
- General Practice Dentistry
- Chickasha, OK
- NPI 1750701660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1275854846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 S MORGAN RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731287005",
"telephone_number": "405-494-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S MORGAN RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731287005",
"telephone_number": "405-494-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITT",
"first_name": "CLINT",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-18",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.