Individual provider Active NPI

Edward Harroz III, DDS

  • Dentist
  • Midwest City, OK
National Provider Identifier
1417155698
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5981 Issued in OK
Practice address
7215 E Reno Ave
Midwest City, OK 73110-4446
Phone
(405) 737-5905
Fax
(405) 739-0328
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5981 OK Primary

Addresses

Primary practice location

7215 E Reno Ave
Midwest City, OK 73110-4446

Mailing address

7215 E Reno Ave
Midwest City, OK 73110-4446
Phone (405) 737-5905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5981OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Studio of Norman Dentist Current Accepting new patients
Dentistry by Design CurrentSince Dec 7, 2005 Accepting new patients
Smile Studio of Midwest City, PLLC Past Accepting new patients

Locations

7215 E Reno Ave
Midwest City, OK 73110
Phone (405) 737-5905

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1417155698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104446",
            "telephone_number": "405-737-5905",
            "fax_number": "405-739-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104446",
            "telephone_number": "405-737-5905",
            "fax_number": "405-739-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARROZ",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 10, 2022; 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.