Diane Vincent, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6681 Issued in OK

Practice address

1439 S Western Rd
Stillwater, OK 74074-6957

Phone

(405) 624-3880

NPI assigned

Jun 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stillwater Dental Associates

  • Dentist
  • Stillwater, OK
  • NPI 1689946964
  NPD
• Rebecca Davis, D.D.S., P.C.

  • Dentist
  • Cushing, OK
  • NPI 1346320959
  NPD (past)

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1285015644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E 9TH ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740234642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 S WESTERN RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746957",
            "telephone_number": "405-624-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "DIANE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Venus, DC
• Spencer Venus
• Jeanine Vest
• Maci Laine Vickers, RBT
• Kathy Marie Vigil
• Kylie Michelle Vincent, RN
• Krystal Marie Dickens Voight, MD
• Danyeal Vontress
• Shellie Vorland
• Paige Ann Wacker, C. HT.

• General Practice Dentistry in Stillwater, OK
• Providers in Stillwater, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.