Organization Active NPI

Owasso Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Owasso, OK
National Provider Identifier
1346548369
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OWASSO ORTHODONTICS
Practice address
12813 E 101St PL N
Owasso, OK 74055-4662
Phone
(918) 272-4242
Fax
(918) 272-5753
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Mrs. Jami Williamson
Title
Office Manager
Phone
(918) 272-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

12813 E 101St PL N
Owasso, OK 74055-4662

Mailing address

12813 E 101St PL N
Owasso, OK 74055-4662
Phone (918) 272-4242

Other identifiers 1

IdentifierTypeStateIssuer
200048910AMedicaidOK

National Provider Directory

National Provider Directory

Locations

12813 E 101st Pl N
Owasso, OK 74055
Phone (918) 272-4242

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1346548369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12813 E 101ST PL N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554662",
            "telephone_number": "918-272-4242",
            "fax_number": "918-272-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12813 E 101ST PL N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554662",
            "telephone_number": "918-272-4242",
            "fax_number": "918-272-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWASSO ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-272-4242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200048910A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.