NPIMap

Organization Active NPI

Madill Dental Company

  • General Practice Dentistry
  • Madill, OK
National Provider Identifier
1285975581
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MADILL DENTAL COMPANY
Practice address
804 S 1St St Suite C
Madill, OK 73446
Phone
(580) 795-3360
Fax
(580) 795-3363
NPI assigned
Mar 12, 2013
Last updated
Mar 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Dr. Mark W WeemsNPI 1205971272
Title
Owner/Dentist
Phone
(580) 332-9447

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 NU Primary

Addresses

Primary practice location

804 S 1St St Suite C
Madill, OK 73446

Mailing address

331 S Rennie St
Ada, OK 74820
Phone (580) 332-9447

National Provider Directory

National Provider Directory

Locations

331 S Rennie St
Ada, OK 74820

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": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1285975581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S RENNIE ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-332-9447",
            "fax_number": "580-332-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S 1ST ST SUITE C",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "73446",
            "telephone_number": "580-795-3360",
            "fax_number": "580-795-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADILL DENTAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "WEEMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "580-332-9447",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madill, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.