Individual provider Active NPI

Shyler Dee Vincent, DDS

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1376771196
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6116 Issued in OK
Practice address
1201 North Stonewall
Univ. of Ok College of Dentistry, Aegd
Oklahoma City, OK 73126-0901
Phone
(405) 271-5222
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6116 OK Primary

Addresses

Primary practice location

1201 North Stonewall
Univ. of Ok College of Dentistry, Aegd
Oklahoma City, OK 73126-0901

Mailing address

509 Trinidad Dr
Norman, OK 73072-5143
Phone (405) 206-8913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 3, 2016 through Jun 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6116OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd E, Skarky, DDS, a Professional Corporation Past Accepting new patients
Clara Maass Emergency Medical Associates LLC Past Accepting new patients
Shyler D. Vincent, DDS , Professional Dentistry, PC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1376771196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 TRINIDAD DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725143",
            "telephone_number": "405-206-8913",
            "fax_number": "405-701-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NORTH STONEWALL",
            "address_2": "UNIV. OF OK COLLEGE OF DENTISTRY, AEGD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260901",
            "telephone_number": "405-271-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "SHYLER",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.