Mustang North Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MUSTANG NORTH DENTAL

Practice address

1709 S Mustang Rd
Ste a
Yukon, OK 73099

Phone

(405) 862-7007

NPI assigned

Nov 16, 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

Electronic endpoints 1

Practitioners 2

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

• Benjamin Nicolas Cuevas, DMD

  • General Practice Dentistry
  • Kingfisher, OK
  • NPI 1003431123
  NPD (past)
• An Mai, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1104354950
  NPD (past)

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1386246205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 S MUSTANG RD",
            "address_2": "STE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "405-862-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 S MUSTANG RD",
            "address_2": "STE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "405-862-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG NORTH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-26",
        "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": "mustangdds.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1709 S Mustang Rd",
            "address_2": "STE A",
            "city": "Mustang",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ruth Muiruri
• Jacob Mullen, DPT
• Yvonne Mullin
• Draven Mullings, RBT
• Cody Music
• Mustang Public Schools
• Jason Matthew Myers, O.D.
• Katelyn Myers
• Kirsten Ranielle Myers
• Molly Myers

• Dental Clinic/Center in Yukon, OK
• Providers in Yukon, 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 May 17, 2021; 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.