Jacob Boyd Ward, DMD, MBA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7554 Issued in OK

Practice address

1623 SE Washington Blvd
Bartlesville, OK 74006-4933

Phone

(719) 252-0487

NPI assigned

May 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

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.

• Bartlesville Family Dental, LLC

  • Dental Clinic/Center
  • Bartlesville, OK
  • NPI 1104570605
  NPD (past)

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1356089635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064933",
            "telephone_number": "918-333-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064933",
            "telephone_number": "719-252-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JACOB",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "DMD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl James Walker
• Joshua Thomas Walker, LPN, NREMT, EMT
• Paul S Wallace
• Nikki Leigh Walsh, M.ED.CCC-SLP
• Ashley N Walters
• Rebecca Ware, LPN
• Kaitlyn M Warren, PT, DPT, NCS
• James Davis Warring
• Washington County Elder Care, Inc
• Laurie Jo Wassom, RN

• General Practice Dentistry in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.