Organization Active NPI

Wallace G Haskett DDS PC

  • General Practice Dentistry
  • Norman, OK
National Provider Identifier
1295900934
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3844 Issued in OK
Legal business name
WALLACE G HASKETT DDS PC
Practice address
707 24TH Ave SW
Norman, OK 73069
Phone
(405) 364-6064
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Wallace G Haskett
Title
Owner/ President
Phone
(405) 364-6064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3844 OK Primary

Addresses

Primary practice location

707 24TH Ave SW
Norman, OK 73069

Mailing address

707 24TH Ave SW
Norman, OK 73069-3987
Phone (405) 364-6064

National Provider Directory

National Provider Directory

Locations

707 24th Ave SW
Norman, OK 73069
Phone (405) 360-0215

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1295900934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693987",
            "telephone_number": "405-364-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73069",
            "telephone_number": "405-364-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE G HASKETT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "HASKETT",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "405-364-6064",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.