NPIMap

Organization Active NPI

Okc Dental Health Associates, P.C.

Doing business as MyDentist-Broken Arrow

  • General Practice Dentistry
  • Broken Arrow, OK
National Provider Identifier
1457771032
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OKC DENTAL HEALTH ASSOCIATES, P.C.
Doing business as
MyDentist-Broken Arrow
Practice address
3451 W Kenosha St
Broken Arrow, OK 74012-8949
Phone
(918) 307-0909
NPI assigned
Apr 22, 2014
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
OKC DENTAL HEALTH ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Hannah Fish
Title
Credentialing Coordinator
Phone
(217) 540-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3451 W Kenosha St
Broken Arrow, OK 74012-8949

Mailing address

3451 W Kenosha St
Broken Arrow, OK 74012-8949

Other names 1

  • MyDentist-Broken Arrow Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rodney P Steffen DDS PC40 organizations share this tax ID, including this one
Part of
Rodney P Steffen DDS PC

Other organizations with this tax ID 39

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

View all 39

Locations

3451 W Kenosha St
Broken Arrow, OK 74012
Phone (918) 307-0909

Practitioners & affiliated clinicians

Practitioners 3

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": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1457771032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 W KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 W KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128949",
            "telephone_number": "918-307-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKC DENTAL HEALTH ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKC DENTAL HEALTH ASSOCIATES, P.C.",
        "enumeration_date": "2014-04-22",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5699"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyDentist-Broken Arrow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.