Organization Active NPI

Smile Creations, P. C.

  • Dentist
  • Midwest City, OK
National Provider Identifier
1407033137
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5287 Issued in OK
Legal business name
SMILE CREATIONS, P. C.
Doing business as
Smile Creations, P.C.
Practice address
6907 W. Boeing Dr
Midwest City, OK 73110
Phone
(405) 455-2552
Fax
(405) 455-2553
NPI assigned
Jan 24, 2008
Last updated
Feb 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Anthony T Nguyen, D.D.S.
Title
Dentist
Phone
(405) 455-2552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5287 OK Primary

Addresses

Primary practice location

6907 W. Boeing Dr
Midwest City, OK 73110

Mailing address

6907 W. Boeing Dr
Midwest City, OK 73110
Phone (405) 455-2552

Other identifiers 1

IdentifierTypeStateIssuer
200059340AMedicaidOK

Other names 1

  • Smile Creations, P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

6907 W Boeing Dr
Midwest City, OK 73110
Phone (405) 455-2552

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1407033137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 W. BOEING DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-455-2552",
            "fax_number": "405-455-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 W. BOEING DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "405-455-2552",
            "fax_number": "405-455-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CREATIONS, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-455-2552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200059340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Creations, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.