Active NPI
Jay P. Fitzgerald, DDS, Ms, PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Norman, OK
National Provider Identifier
1407004096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 4871
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Norman, OK
- NPI 1508955311
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.