NPIMap

Organization Active NPI

Vian Family Dental Clinic, Inc.

  • General Practice Dentistry
  • Vian, OK
National Provider Identifier
1285663575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5317 Issued in OK
Legal business name
VIAN FAMILY DENTAL CLINIC, INC.
Practice address
Highway 82 South and I40 Junction
Vian, OK 74962-0696
Phone
(918) 773-6200
Fax
(918) 773-6201
NPI assigned
Jul 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Logan Coffee, DDSNPI 1164465399
Title
Owner/Dentist
Phone
(918) 773-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5317 OK Primary

Addresses

Primary practice location

Highway 82 South and I40 Junction
Vian, OK 74962-0696

Mailing address

PO Box 696
Vian, OK 74962-0696
Phone (918) 773-6200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285663575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 696",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "749620696",
            "telephone_number": "918-773-6200",
            "fax_number": "918-773-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 82 SOUTH AND I40 JUNCTION",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "749620696",
            "telephone_number": "918-773-6200",
            "fax_number": "918-773-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIAN FAMILY DENTAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COFFEE",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "918-773-6200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vian, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.