NPIMap

Organization Active NPI

Dental Lodge of Noble, PLLC

  • Dentist
  • Noble, OK
National Provider Identifier
1326525072
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL LODGE OF NOBLE, PLLC
Practice address
1009 Parkwoods Dr
Noble, OK 73068-9391
Phone
(405) 872-9597
Fax
(405) 872-5271
NPI assigned
Jul 25, 2018
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Gary Nabors, DDSNPI 1235333535
Title
Partner
Phone
(405) 872-9597

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
Dentist 122300000X Primary

Addresses

Primary practice location

1009 Parkwoods Dr
Noble, OK 73068-9391

Mailing address

1009 Parkwoods Dr
Noble, OK 73068-9391
Phone (405) 872-9597

National Provider Directory

National Provider Directory

Locations

1009 Parkwoods Dr
Noble, OK 73068
Phone (405) 872-9597

Practitioners & affiliated clinicians

Practitioners 6

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": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1326525072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 PARKWOODS DR",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730689391",
            "telephone_number": "405-872-9597",
            "fax_number": "405-872-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 PARKWOODS DR",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730689391",
            "telephone_number": "405-872-9597",
            "fax_number": "405-872-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL LODGE OF NOBLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "NABORS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "405-872-9597",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noble, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.