Organization Active NPI

Jay P. Fitzgerald, DDS, Ms, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Norman, OK
National Provider Identifier
1407004096
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4871 Issued in OK
Legal business name
JAY P. FITZGERALD, DDS, MS, PC
Practice address
444 36TH Ave NW
Norman, OK 73072-4703
Phone
(405) 360-7716
Fax
(405) 360-0047
NPI assigned
Sep 8, 2008
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Jay Fitzgerald, D.D.S., M.S.NPI 1508955311
Title
Owner
Phone
(405) 360-7716

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4871 OK Primary

Addresses

Primary practice location

444 36TH Ave NW
Norman, OK 73072-4703

Mailing address

444 36TH Ave NW
Norman, OK 73072-4703
Phone (405) 360-7716

National Provider Directory

National Provider Directory

Locations

444 36th Ave NW
Norman, OK 73072
Phone (405) 360-7716

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1407004096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 36TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724703",
            "telephone_number": "405-360-7716",
            "fax_number": "405-360-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 36TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724703",
            "telephone_number": "405-360-7716",
            "fax_number": "405-360-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY P. FITZGERALD, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-360-7716",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "4871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.