Okdi PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OKDI PLLC

Doing business as

405 Implants and Dentures

Practice address

10001 S Pennsylvania Ave # M240
Oklahoma City, OK 73159-6923

Phone

(405) 252-1508

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Austin Brasher, DDSNPI 1285268771

Title

Dentist

Phone

(405) 474-6361

Specialties & licenses 1

Addresses

Other names 1

• 405 Implants and Dentures Doing business as

Locations

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.

• Austin William Brasher

  • Dentist
  • Tishomingo, OK
  • NPI 1285268771
  NPD Authorized official

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1326711094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 GEETA RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033707",
            "telephone_number": "405-474-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S PENNSYLVANIA AVE # M240",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596923",
            "telephone_number": "405-252-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKDI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-474-6361",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "405 Implants and Dentures",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Okc Surgicalists PLLC
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• Okc-Oms Holdings PLLC
• Okcity RX, LLC
• Oladunni Rhonda Okediji
• John Okeefe
• Gloria P Okelley, M.D.
• Clifford Okere
• Okey Nwokolo M.D. and Associates

• Dental Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.