Active NPI
Travis Lee Ochsner, DDS
- General Practice Dentistry
- Fort Sill, OK
National Provider Identifier
1497020812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27633
- Practice address
- Cowan Dental Clinic 605 Randolph Rd.
Fort Sill, OK 73503 - Phone
- (580) 442-5869
- NPI assigned
- Mar 19, 2012
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27633 | TX | Primary |
Addresses
Primary practice location
Cowan Dental Clinic 605 Randolph Rd.
Fort Sill, OK 73503
Mailing address
USA Dental Health Activity 4301 Wilson Street
4301 Wilson Street
Fort Sill, OK 73503
Phone (580) 442-5869
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 |
|---|---|---|---|
| 27633 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1497020812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "USA DENTAL HEALTH ACTIVITY 4301 WILSON STREET",
"address_2": "4301 WILSON STREET",
"city": "FORT SILL",
"state": "OK",
"postal_code": "73503",
"telephone_number": "580-442-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COWAN DENTAL CLINIC 605 RANDOLPH RD.",
"city": "FORT SILL",
"state": "OK",
"postal_code": "73503",
"telephone_number": "580-442-5869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCHSNER",
"first_name": "TRAVIS",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-19",
"last_updated": "2021-10-27",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.