Spartan PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SPARTAN PLLC

Practice address

5 W Dawes Ave
Bixby, OK 74008-4422

Phone

(918) 366-3777

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Joshua V Brasher, DDS

Title

Owner/President

Phone

(405) 250-2255

Specialties & licenses 1

Addresses

Other names 1

• Spartan Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1497467773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W DAWES AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084422",
            "telephone_number": "918-366-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W DAWES AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740084422",
            "telephone_number": "918-366-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "405-250-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": "Spartan Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southwest Arkansas Wound Care, LLC
• Spartan Family Dentistry
• Amanda A Spears, LCSW
• Spring Dental Bixby PLLC
• Linh Tran Stephens, DO
• Brooklyn Stobaugh
• Ray E Stowers I, D.O.

• General Practice Dentistry in Bixby, OK
• Providers in Bixby, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.