Organization Active NPI

R. Burton Ludrick, D.D.S., PC

  • General Practice Dentistry
  • Durant, OK
National Provider Identifier
1386821338
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3727 Issued in OK
Legal business name
R. BURTON LUDRICK, D.D.S., PC
Practice address
720 Bryan Dr
Suite B
Durant, OK 74701-7032
Phone
(580) 924-6960
Fax
(580) 924-6665
NPI assigned
Jan 22, 2008
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mrs. Harriet Wrynne Ludrick
Title
Office Manager/Spouse
Phone
(580) 924-6960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3727 OK Primary

Addresses

Primary practice location

720 Bryan Dr
Suite B
Durant, OK 74701-7032

Mailing address

720 Bryan Dr
Suite B
Durant, OK 74701-7032
Phone (580) 924-6960

Other names 1

  • Robert Burton Ludrick D.D.S. Other name

National Provider Directory

National Provider Directory

Locations

720 Bryan Dr
Ste B
Durant, OK 74701
Phone (580) 924-6960

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1386821338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BRYAN DR",
            "address_2": "SUITE B",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017032",
            "telephone_number": "580-924-6960",
            "fax_number": "580-924-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BRYAN DR",
            "address_2": "SUITE B",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747017032",
            "telephone_number": "580-924-6960",
            "fax_number": "580-924-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. BURTON LUDRICK, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "LUDRICK",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_middle_name": "WRYNNE",
        "authorized_official_title_or_position": "OFFICE MANAGER/SPOUSE",
        "authorized_official_telephone_number": "580-924-6960",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Burton Ludrick D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.