Organization Active NPI

Nicki Schafer DDS LLC

  • Dentist
  • Chandler, OK
National Provider Identifier
1477970259
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6037 Issued in OK
Legal business name
NICKI SCHAFER DDS LLC
Practice address
1516 S Iowa Ave
Chandler, OK 74834-9169
Phone
(405) 258-2684
Fax
(405) 258-5353
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Nicki Lynn Schafer, DDSNPI 1255595385
Title
Owner
Phone
(405) 258-2684

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6037 OK Primary

Addresses

Primary practice location

1516 S Iowa Ave
Chandler, OK 74834-9169

Mailing address

1516 S Iowa Ave
P O Box 249
Chandler, OK 74834-9169
Phone (405) 258-2684

Other names 1

  • Chandler Family Dentistry Doing business as

National Provider Directory

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": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1477970259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 S IOWA AVE",
            "address_2": "P O BOX 249",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748349169",
            "telephone_number": "405-258-2684",
            "fax_number": "405-258-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S IOWA AVE",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748349169",
            "telephone_number": "405-258-2684",
            "fax_number": "405-258-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKI SCHAFER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "NICKI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-258-2684",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "6037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandler Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.