Southpointe Family Dentistry PLLC Dba Westmoore Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTHPOINTE FAMILY DENTISTRY PLLC DBA WESTMOORE FAMILY DENTISTRY

Practice address

12208 S Western Ave
Oklahoma City, OK 73170-5914

Phone

(405) 692-5551

Fax

(844) 255-9174

NPI assigned

May 1, 2018

Last updated

Jan 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mack Timothy Rudd, DDS

Title

Owner

Phone

(405) 844-6333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1437647831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12208 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705914",
            "telephone_number": "405-692-5551",
            "fax_number": "405-692-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12208 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705914",
            "telephone_number": "405-692-5551",
            "fax_number": "844-255-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINTE FAMILY DENTISTRY PLLC DBA WESTMOORE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "MACK",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-844-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Plains Medical Center Inc (CareFirst Wellness Associates)
• Southern Smiles Dental PC
• Southerncare, Inc (Southerncare Oklahoma City)
• Leroy Southmayd III, M.D.
• Southpointe Dental PLLC
• Southridge Dental Arts PLLC
• Southside Urology Clinic, P.C.
• Southside Urology Clinic, P.C.
• Susie I Southwell, MED
• Southwest Ambulatory Surgery Center, LLC

• Dental Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.