Organization Active NPI

Jack N. Sellers DDS, P.C.

  • Dentist
  • Stigler, OK
National Provider Identifier
1346563707
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JACK N. SELLERS DDS, P.C.
Practice address
103 N.W. 9TH Street
Stigler, OK 74462
Phone
(918) 967-4609
Fax
(918) 967-9041
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Jack Nichols Sellers, D.D.S.
Title
Dentist (President)
Phone
(918) 967-4609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

103 N.W. 9TH Street
Stigler, OK 74462

Mailing address

103 N.W. 9TH Street
Stigler, OK 74462
Phone (918) 967-4609

National Provider Directory

National Provider Directory
Tax ID family
Jack N Sellers DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

103 NW 9th St
Stigler, OK 74462
Phone (918) 967-4609

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1346563707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N.W. 9TH STREET",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "74462",
            "telephone_number": "918-967-4609",
            "fax_number": "918-967-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N.W. 9TH STREET",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "74462",
            "telephone_number": "918-967-4609",
            "fax_number": "918-967-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK N. SELLERS DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "NICHOLS",
        "authorized_official_title_or_position": "DENTIST (PRESIDENT)",
        "authorized_official_telephone_number": "918-967-4609",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stigler, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.