Organization Active NPI

Harrah Dentistry & Braces

  • Dentist
  • Harrah, OK
National Provider Identifier
1366858847
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6076 Issued in OK
Legal business name
HARRAH DENTISTRY & BRACES
Practice address
2397 Church Ave
Harrah, OK 73045-9781
Phone
(405) 563-7772
NPI assigned
Jul 7, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Benjamin James Bowman, DDS
Title
Doctor
Phone
(405) 326-8004

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

2397 Church Ave
Harrah, OK 73045
Phone (405) 562-9577

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6076 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

2397 Church Ave
Harrah, OK 73045-9781

Mailing address

2397 Church Ave
Harrah, OK 73045-9781

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2020.

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1366858847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 CHURCH AVE",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730459781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2397 CHURCH AVE",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730459781",
            "telephone_number": "405-563-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRAH DENTISTRY & BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "405-326-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.