Organization Active NPI

John C Stobbe PC

  • General Practice Dentistry
  • Shawnee, OK
National Provider Identifier
1326313925
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5242 Issued in OK
Legal business name
JOHN C STOBBE PC
Practice address
2616 N Park Ave
Shawnee, OK 74804-2838
Phone
(405) 275-7730
NPI assigned
Mar 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Dr. John C Stobbe, DDS
Title
President
Phone
(405) 275-7730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5242 OK Primary

Addresses

Primary practice location

2616 N Park Ave
Shawnee, OK 74804-2838

Mailing address

2616 N Park Ave
Shawnee, OK 74804-2838
Phone (405) 275-7730

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1326313925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 N PARK AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042838",
            "telephone_number": "405-275-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 N PARK AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042838",
            "telephone_number": "405-275-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C STOBBE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "STOBBE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-275-7730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.