NPIMap

Organization Active NPI

Dental Professionals of Ok, PC

Doing business as Family Dental Care of Owasso

  • General Practice Dentistry
  • Owasso, OK
National Provider Identifier
1437568730
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF OK, PC
Doing business as
Family Dental Care of Owasso
Practice address
13101 E. 96TH Street North
Owasso, OK 74055-4775
Phone
(918) 928-4747
Fax
(918) 928-4748
NPI assigned
Aug 12, 2014
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF OK, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Jennifer Hoelscher
Title
Insurance/Credentialing
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

13101 E. 96TH Street North
Owasso, OK 74055-4775

Mailing address

13101 E. 96TH Street North
Owasso, OK 74055-4775
Phone (918) 928-4747

Other names 1

  • Family Dental Care of Owasso Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Associates of Texas PC10 organizations share this tax ID, including this one
Part of
Dental Health Associates of Texas PC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13101 E 96th St N
Owasso, OK 74055
Phone (918) 928-4747

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": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1437568730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 E. 96TH STREET NORTH",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554775",
            "telephone_number": "918-928-4747",
            "fax_number": "918-928-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 E. 96TH STREET NORTH",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554775",
            "telephone_number": "918-928-4747",
            "fax_number": "918-928-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF OK, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF OK, PC",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "HOELSCHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care of Owasso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.