Charles Roskamp D.D.S. Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3861 Issued in OK

Legal business name

CHARLES ROSKAMP D.D.S. INC.

Practice address

3300 S Aspen Ave
Sutie a
Broken Arrow, OK 74012-7501

Phone

(918) 451-0211

Fax

(918) 451-0599

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Lee Roskamp, DDS

Title

Pres/Owner

Phone

(918) 451-0211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336154756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S ASPEN AVE",
            "address_2": "SUTIE A",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127501",
            "telephone_number": "918-451-0211",
            "fax_number": "918-451-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 S ASPEN AVE",
            "address_2": "SUTIE A",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127501",
            "telephone_number": "918-451-0211",
            "fax_number": "918-451-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES ROSKAMP D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSKAMP",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "918-451-0211",
        "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": "3861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.