Individual provider Active NPI

Joshua Brock

  • General Practice Dentistry
  • Edmond, OK
National Provider Identifier
1346732237
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7033 Issued in OK
Practice address
2000 E 15TH St Ste 200
Edmond, OK 73013-6679
Phone
(405) 341-0203
NPI assigned
Jun 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7033 OK Primary

Addresses

Primary practice location

2000 E 15TH St Ste 200
Edmond, OK 73013-6679

Mailing address

801 NW 54TH St
Oklahoma City, OK 73118-6016
Phone (580) 284-4078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7033OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua G Brock DDS PLLC CurrentSince Jun 18, 2023 Accepting new patients
Krista M. Jones DDS PC PastSince Apr 9, 2023 Accepting new patients

Locations

2000 E 15th St
Ste 200
Edmond, OK 73013
Phone (405) 341-0203

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1346732237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NW 54TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186016",
            "telephone_number": "580-284-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E 15TH ST STE 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136679",
            "telephone_number": "405-341-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7033",
            "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 Apr 4, 2023; 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.