NPIMap

Organization Active NPI

Senior Dental Care of in, LLC

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1467094680
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SENIOR DENTAL CARE OF IN, LLC
Practice address
7101 NW 150TH St Ste 100
Oklahoma City, OK 73142-9716
Phone
(913) 594-3088
NPI assigned
Oct 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Dr. Deren Flesher, DDS
Title
Owner
Phone
(913) 594-3088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7101 NW 150TH St Ste 100
Oklahoma City, OK 73142-9716

Mailing address

8500 W 110TH St Ste 450
Overland Park, KS 66210-4029
Phone (913) 594-3088

National Provider Directory

National Provider Directory

Locations

7101 NW 150th St
Ste 100
Oklahoma City, OK 73142
Phone (405) 896-7997

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1467094680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 W 110TH ST STE 450",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104029",
            "telephone_number": "913-594-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 NW 150TH ST STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731429716",
            "telephone_number": "913-594-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR DENTAL CARE OF IN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "FLESHER",
        "authorized_official_first_name": "DEREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-594-3088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.