Organization Active NPI

Gerken Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ardmore, OK
National Provider Identifier
1457595266
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5224 Issued in OK
Legal business name
GERKEN ORTHODONTICS, LLC
Practice address
1201 Kiowa St
Ardmore, OK 73401-2260
Phone
(580) 226-8868
NPI assigned
Apr 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Dr. Craig A Gerken, D.D.S.NPI 1063585073
Title
Orthodontist
Phone
(580) 226-8868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 5224 OK Primary

Addresses

Primary practice location

1201 Kiowa St
Ardmore, OK 73401-2260

Mailing address

1201 Kiowa St
Ardmore, OK 73401-2260
Phone (580) 226-8868

Other names 1

  • Dr. Craig A Gerken, D.D.S. Other name

National Provider Directory

National Provider Directory

Locations

1201 Kiowa St
Ardmore, OK 73401
Phone (580) 226-8868

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": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1457595266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 KIOWA ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012260",
            "telephone_number": "580-226-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 KIOWA ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012260",
            "telephone_number": "580-226-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERKEN ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "GERKEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "580-226-8868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "5224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Craig A Gerken, D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.