Organization Active NPI

Smile Studio of Midwest City, PLLC

  • General Practice Dentistry
  • Midwest City, OK
National Provider Identifier
1316334832
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5981 Issued in OK
Legal business name
SMILE STUDIO OF MIDWEST CITY, PLLC
Practice address
1908 S Post Rd
Building 1
Midwest City, OK 73130-6600
Phone
(405) 737-5905
Fax
(405) 732-2109
NPI assigned
Apr 22, 2015
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Dr. Edward Harroz III, DDSNPI 1417155698
Title
Owner
Phone
(405) 737-5905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5981 OK Primary

Addresses

Primary practice location

1908 S Post Rd
Building 1
Midwest City, OK 73130-6600

Mailing address

PO Box 30466
Midwest City, OK 73140-3466
Phone (405) 737-5905

Other identifiers 1

IdentifierTypeStateIssuer
1223G0001XOtherOKDENTIST-GENERAL PRACTICE

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": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1316334832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30466",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731403466",
            "telephone_number": "405-737-5905",
            "fax_number": "405-739-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 S POST RD",
            "address_2": "BUILDING 1",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306600",
            "telephone_number": "405-737-5905",
            "fax_number": "405-732-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STUDIO OF MIDWEST CITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "HARROZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-737-5905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST-GENERAL PRACTICE",
            "identifier": "1223G0001X",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.