Bixby Dental Group, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BIXBY DENTAL GROUP, PLLC

Practice address

13302 S Memorial Dr
Bixby, OK 74008-3114

Phone

(918) 369-3990

NPI assigned

Mar 1, 2019

Last updated

Jan 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Lightfoot

Title

Authorized Representative

Phone

(214) 702-0708

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry Justin Reavis, DDS

  • General Practice Dentistry
  • Bixby, OK
  • NPI 1548220650
  NPD (past)

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1356808935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 DALLAS PKWY STE 950",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483309",
            "telephone_number": "214-702-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13302 S MEMORIAL DR",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083114",
            "telephone_number": "918-369-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIXBY DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "214-702-0708"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailey Paige Bash, CCC-SLP
• Sharon Kay Beets, MS
• Christina M Bell, MS, CCC-SLP
• Lindsay Janell Bell
• Avery Bennett, CCC-SLP
• Bixby Dentist, P.C.
• Bixby Family Dentistry PLLC
• Bixby Health and Rehabilitation, LLC (Southtown Nursing and Ventilator Care)
• Bixby Manor, LLC (Bixby Manor)
• Bixby North Clinic of Chiropractic

• Dentist in Bixby, OK
• Providers in Bixby, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.