Organization Active NPI

Scott Breland DDS PC

  • General Practice Dentistry
  • Sapulpa, OK
National Provider Identifier
1376700880
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5213 Issued in OK
Legal business name
SCOTT BRELAND DDS PC
Practice address
20 W Lee Ave
Sapulpa, OK 74066-4116
Phone
(918) 224-0551
Fax
(918) 224-5251
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Michael Scott Breland, DDSNPI 1932113537
Title
Owner/Dentist
Phone
(918) 224-0551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5213 OK Primary

Addresses

Primary practice location

20 W Lee Ave
Sapulpa, OK 74066-4116

Mailing address

20 W Lee Ave
Sapulpa, OK 74066-4116
Phone (918) 224-0551

National Provider Directory

National Provider Directory

Locations

20 W Lee Ave
Sapulpa, OK 74066
Phone (918) 224-0551

Practitioners & affiliated clinicians

Practitioners 1

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1376700880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W LEE AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664116",
            "telephone_number": "918-224-0551",
            "fax_number": "918-224-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W LEE AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664116",
            "telephone_number": "918-224-0551",
            "fax_number": "918-224-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT BRELAND DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BRELAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "918-224-0551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.