Midwest City Dentistry and Braces

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MIDWEST CITY DENTISTRY AND BRACES

Doing business as

Midwest City Dentistry and Braces

Practice address

829 S Air Depot Blvd
Midwest City, OK 73110

Phone

(405) 862-7010

NPI assigned

Nov 9, 2020

Organization subpart

No

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

Authorized official

Name

Benjamin Bowman

Title

Owner

Phone

(405) 326-8004

Specialties & licenses 1

Addresses

Other names 1

• Midwest City Dentistry and Braces Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Ashton Alexander Tracey, DMD

  • General Practice Dentistry
  • Midwest City, OK
  • NPI 1568034601
  NPD

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1376144089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 S AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-862-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 S AIR DEPOT BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-862-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CITY DENTISTRY AND BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-326-8004"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mwcdds.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "829 S Air Depot Blvd",
            "city": "Midwest City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Midwest City Dentistry and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mid-del Schools
• Mid-del Vision Source, PLLC (Vision Source Midwest City)
• Mid-del Youth and Family Center
• Tawana Glenice Middleton-Trimm
• Midway Medical Clinic
• Midwest City Eye Care Associates PLLC
• Midwest City Healthcare Residence Operator LLC (Midwest City Healthcare Residence)
• Midwest City Heart Center, PLLC
• Midwest City Hma Inc (Midwest City Medical Group)
• Midwest City Hma Inc (Sooner Medical Management)

• Dental Clinic/Center in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Dental Clinic/Center in Oklahoma

• 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.