NPIMap

Organization Active NPI

Okc Dental Health Associates, P.C.

Doing business as Casady Square Orthodontics

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1336569102
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OKC DENTAL HEALTH ASSOCIATES, P.C.
Doing business as
Casady Square Orthodontics
Practice address
9405 N Pennsylvania PL
Casady Square
Oklahoma City, OK 73120-3801
Phone
(405) 254-5094
NPI assigned
Apr 21, 2014
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
OKC DENTAL HEALTH ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Hannah Fish
Title
Credentialing Coordinator
Phone
(217) 540-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

9405 N Pennsylvania PL
Casady Square
Oklahoma City, OK 73120-3801

Mailing address

9405 N Pennsylvania PL
Casady Square
Oklahoma City, OK 73120-3801

Other names 1

  • Casady Square Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Okc Dental Health Associates PC40 organizations share this tax ID, including this one
Part of
Okc Dental Health Associates PC

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1336569102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 N PENNSYLVANIA PL",
            "address_2": "CASADY SQUARE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 N PENNSYLVANIA PL",
            "address_2": "CASADY SQUARE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203801",
            "telephone_number": "405-254-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKC DENTAL HEALTH ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKC DENTAL HEALTH ASSOCIATES, P.C.",
        "enumeration_date": "2014-04-21",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5699"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casady Square Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.