Active NPI
Nelson Arthur Smith, D.D.S.
- Dentist
- Oklahoma City, OK
National Provider Identifier
1487821724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3487
- Practice address
- 6430 N Portland Ave
Oklahoma City, OK 73116-2033 - Phone
- (405) 767-6500
- Fax
- (405) 842-5706
- NPI assigned
- May 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3487 | OK | Primary |
Addresses
Primary practice location
6430 N Portland Ave
Oklahoma City, OK 73116-2033
Mailing address
PO Box 54445
Oklahoma City, OK 73154-1445
Phone (405) 990-6065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3487 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1487821724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54445",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731541445",
"telephone_number": "405-990-6065",
"fax_number": "405-842-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6430 N PORTLAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731162033",
"telephone_number": "405-767-6500",
"fax_number": "405-842-5706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NELSON",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "3487",
"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 May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.