Active NPI
Shyler Dee Vincent, DDS
- Dentist
- Oklahoma City, OK
National Provider Identifier
1376771196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6116
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6116 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1558657460
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1629270970
-
- Emergency Medicine Physician
- Belleville, NJ
- NPI 1447516000
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.