Organization Active NPI

Larry a. Dyer DDS, P.C.

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1407955446
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4688 Issued in OK
Legal business name
LARRY A. DYER DDS, P.C.
Practice address
11317 S Western
Ste 400
Oklahoma City, OK 73170-5850
Phone
(405) 691-5142
Fax
(405) 691-2849
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Larry Allen Dyer, DDS
Title
Dentist Owner
Phone
(405) 691-5142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4688 OK Primary

Addresses

Primary practice location

11317 S Western
Ste 400
Oklahoma City, OK 73170-5850

Mailing address

11317 S Western Ave
Suite 400
Oklahoma City, OK 73170-5849
Phone (405) 691-5142

Other names 1

  • Smile Connections Doing business as

National Provider Directory

National Provider Directory

Locations

11317 S Western Ave
Ste 400
Oklahoma City, OK 73170
Phone (405) 691-5142

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1407955446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11317 S WESTERN AVE",
            "address_2": "SUITE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705849",
            "telephone_number": "405-691-5142",
            "fax_number": "405-691-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11317 S WESTERN",
            "address_2": "STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705850",
            "telephone_number": "405-691-5142",
            "fax_number": "405-691-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY A. DYER DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "405-691-5142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "4688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.