NPIMap

Organization Active NPI

Oklahoma Dental

  • General Practice Dentistry
  • Yukon, OK
National Provider Identifier
1467440503
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OKLAHOMA DENTAL
Practice address
1300 Health Center Pkwy
Yukon, OK 73099-6390
Phone
(405) 354-1147
Fax
(405) 354-1162
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Nancy D Kenyon
Title
Insurance Coordinator
Phone
(405) 354-1147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1300 Health Center Pkwy
Yukon, OK 73099-6390

Mailing address

1300 Health Center Pkwy
Yukon, OK 73099-6390
Phone (405) 354-1147

National Provider Directory

National Provider Directory
Tax ID family
Oklahoma Dental7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1467440503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HEALTH CENTER PKWY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996390",
            "telephone_number": "405-354-1147",
            "fax_number": "405-354-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HEALTH CENTER PKWY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996390",
            "telephone_number": "405-354-1147",
            "fax_number": "405-354-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "405-354-1147"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.