Organization Active NPI

Douglas E. Brammer, D.D.S., Inc.

  • Dentist
  • Vinita, OK
National Provider Identifier
1366617045
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3869 Issued in OK
Legal business name
DOUGLAS E. BRAMMER, D.D.S., INC.
Practice address
120 W Delaware Ave # B
Vinita, OK 74301-4224
Phone
(918) 256-7892
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Douglas E Brammer, D.D.S.
Title
Dentist
Phone
(918) 256-7892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3869 OK Primary

Addresses

Primary practice location

120 W Delaware Ave # B
Vinita, OK 74301-4224

Mailing address

120 West Delaware Ave #B
Vinita, OK 74301-4224
Phone (918) 256-7892

National Provider Directory

National Provider Directory

Locations

120 W Delaware Ave
Ste B
Vinita, OK 74301
Phone (918) 256-7892

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1366617045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WEST DELAWARE AVE #B",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743014224",
            "telephone_number": "918-256-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W DELAWARE AVE # B",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743014224",
            "telephone_number": "918-256-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS E. BRAMMER, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BRAMMER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-256-7892",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "3869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.