Organization Active NPI

Steven W. Fooshee, D.D.S., Inc.

  • Dentist
  • Sand Springs, OK
National Provider Identifier
1366618654
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3841 Issued in OK
Legal business name
STEVEN W. FOOSHEE, D.D.S., INC.
Practice address
135 E Broadway St
Sand Springs, OK 74063-7640
Phone
(918) 245-0229
Fax
(918) 245-4205
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Ms. Angel R. Cole
Title
Insurance Coordinator
Phone
(918) 245-0229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3841 OK Primary

Addresses

Primary practice location

135 E Broadway St
Sand Springs, OK 74063-7640

Mailing address

135 E Broadway St
Sand Springs, OK 74063-7640
Phone (918) 245-0229

Other identifiers 2

IdentifierTypeStateIssuer
1467580548OtherOKNPI 1
100682170AMedicaidOK

National Provider Directory

National Provider Directory

Locations

135 E Broadway St
Sand Springs, OK 74063
Phone (918) 245-0229

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": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1366618654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E BROADWAY ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637640",
            "telephone_number": "918-245-0229",
            "fax_number": "918-245-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E BROADWAY ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637640",
            "telephone_number": "918-245-0229",
            "fax_number": "918-245-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN W. FOOSHEE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "918-245-0229",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "3841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1467580548",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100682170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.