Active NPI
David D. Minyard, DDS
- Dentist
- Edmond, OK
National Provider Identifier
1346470788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5635
- Practice address
- 950 Medical Park Blvd
Edmond, OK 73013-3024 - Phone
- (405) 330-9444
- Fax
- (405) 330-7828
- NPI assigned
- Jul 20, 2009
- Last updated
- Jul 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5635 | OK | Primary |
Addresses
Primary practice location
950 Medical Park Blvd
Edmond, OK 73013-3024
Mailing address
950 Medical Park Blvd.
Edmond, OK 73013
Phone (405) 330-9444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 7, 2018 through Mar 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5635 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1346470788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 MEDICAL PARK BLVD.",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-330-9444",
"fax_number": "405-330-7828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 MEDICAL PARK BLVD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133024",
"telephone_number": "405-330-9444",
"fax_number": "405-330-7828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINYARD",
"first_name": "DAVID",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-20",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.