Ayan Love Lawson, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5809 Issued in OK

Practice address

114 W Main St
Wilburton, OK 74578-4044

Phone

(918) 465-3535

Fax

(918) 465-3742

NPI assigned

Dec 19, 2006

Last updated

Aug 20, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Broadway Dental, LLC

  • General Practice Dentistry
  • Poteau, OK
  • NPI 1497258354
  NPD (past) Authorized official
• Wilburton Family Dentistry, LLC

  • General Practice Dentistry
  • Wilburton, OK
  • NPI 1518099357
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1376606228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784044",
            "telephone_number": "918-465-3535",
            "fax_number": "918-465-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784044",
            "telephone_number": "918-465-3535",
            "fax_number": "918-465-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "AYAN",
        "middle_name": "LOVE",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latimer County Health Clinic
• Latimer County Home Health Care Agency
• Latimer County Hospital Authority (Latimer County General Hospital)
• Latimer County Hospital Retirement Center, LLC (Latimer County Hospital Retirement Center)
• Latimer Long Term Care LLC
• Amanda Rochelle Lynch, BA.
• Larry Mabry
• Mendi Leighane McAlester, RN
• Theresa L McCarn
• Jody McKay

• General Practice Dentistry in Wilburton, OK
• Providers in Wilburton, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.