NPIMap

Organization Active NPI

Norman Periodontics & Dental Implants, PC

  • Periodontics
  • Norman, OK
National Provider Identifier
1356501928
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5814 Issued in OK
Legal business name
NORMAN PERIODONTICS & DENTAL IMPLANTS, PC
Practice address
707 24TH Ave SW
Suite 202
Norman, OK 73069-3987
Phone
(405) 329-6106
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Scott G Renfrow, D.D.S.NPI 1376645440
Title
Owner
Phone
(405) 329-6106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 5814 OK Primary

Addresses

Primary practice location

707 24TH Ave SW
Suite 202
Norman, OK 73069-3987

Mailing address

707 24TH Ave SW
Suite 202
Norman, OK 73069-3987

National Provider Directory

National Provider Directory

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": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1356501928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 24TH AVE SW",
            "address_2": "SUITE 202",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 24TH AVE SW",
            "address_2": "SUITE 202",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693987",
            "telephone_number": "405-329-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN PERIODONTICS & DENTAL IMPLANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "RENFROW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-329-6106",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OK",
            "license": "5814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.