Active NPI
Easy Dental Solutions III, P.C.
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1487038808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- EASY DENTAL SOLUTIONS III, P.C.
- Practice address
- 10001 S Pennsylvania Ave Ste M220
Oklahoma City, OK 73159-6923 - Phone
- (405) 796-8012
- Fax
- (405) 378-2381
- NPI assigned
- Jul 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Lindy Goodwin, D.D.S.
- Title
- Owner
- Phone
- (405) 796-8012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
10001 S Pennsylvania Ave Ste M220
Oklahoma City, OK 73159-6923
Mailing address
10001 S Pennsylvania Ave Ste M220
Oklahoma City, OK 73159-6923
Phone (405) 796-8012
Other names 1
- Easy Dental Solutions
National Provider Directory
National Provider DirectoryLocations
10001 S Pennsylvania Ave
Ste M220
Oklahoma City, OK 73159
Phone (405) 252-1508
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1558424788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436918400000",
"number": "1487038808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 S PENNSYLVANIA AVE STE M220",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731596923",
"telephone_number": "405-796-8012",
"fax_number": "405-378-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 S PENNSYLVANIA AVE STE M220",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731596923",
"telephone_number": "405-796-8012",
"fax_number": "405-378-2381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASY DENTAL SOLUTIONS III, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-15",
"last_updated": "2015-07-15",
"status": "A",
"authorized_official_last_name": "GOODWIN",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "LINDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-796-8012",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Easy Dental Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.