Organization Active NPI

Easy Dental Solutions III, P.C.

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1487038808
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Jul 15, 2015

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.