Organization Active NPI

OB Hearne DDS PC

  • General Practice Dentistry
  • Broken Bow, OK
National Provider Identifier
1336818103
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OB HEARNE DDS PC
Practice address
400 Main St
Broken Bow, OK 74728-2982
Phone
(580) 584-3321
Fax
(580) 584-3237
NPI assigned
Sep 7, 2021
Last updated
Sep 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Dr. Owen Bradley Hearne, DDSNPI 1386658904
Title
Owner/President
Phone
(580) 579-7477

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

400 Main St
Broken Bow, OK 74728-2982

Mailing address

400 Main St
Broken Bow, OK 74728-2982
Phone (580) 584-3321

National Provider Directory

National Provider Directory

Locations

400 Main St
Broken Bow, OK 74728
Phone (580) 584-3321

Practitioners & affiliated clinicians

Practitioners 2

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": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1336818103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747282982",
            "telephone_number": "580-584-3321",
            "fax_number": "580-584-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747282982",
            "telephone_number": "580-584-3321",
            "fax_number": "580-584-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB HEARNE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "HEARNE",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "580-579-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.