Active NPI
Michael Elliott Aitson, D.D.S.
- General Practice Dentistry
- Woodward, OK
National Provider Identifier
1326030347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- OK5142
- Practice address
- 1020 18TH St
Woodward, OK 73801-2902 - Phone
- (580) 254-0039
- Fax
- (580) 254-2080
- NPI assigned
- Aug 16, 2005
- Reactivated
- Apr 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | OK5142 | OK | Primary |
| General Practice Dentistry | 1223G0001X | AZ4901 | AZ |
Addresses
Primary practice location
1020 18TH St
Woodward, OK 73801-2902
Mailing address
1020 18TH St
Woodward, OK 73801-2902
Phone (580) 254-0039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ4901 | AZ | MD | General Practice Dentistry |
| OK5142 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael E. Aitson DDS Inc. PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Woodward, OK
- NPI 1083883706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326030347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 18TH ST",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738012902",
"telephone_number": "580-254-0039",
"fax_number": "580-254-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 18TH ST",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738012902",
"telephone_number": "580-254-0039",
"fax_number": "580-254-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AITSON",
"first_name": "MICHAEL",
"middle_name": "ELLIOTT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2007-07-08",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "OK5142",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "AZ4901",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodward, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.