Organization Active NPI

Zeneida G Vasquez DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Oklahoma City, OK
National Provider Identifier
1497894604
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
126 Issued in OK
Legal business name
ZENEIDA G VASQUEZ DDS PC
Practice address
1224 SW 104TH St
Suite B
Oklahoma City, OK 73139-3020
Phone
(405) 703-1000
Fax
(405) 703-2277
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Mrs. Zeneida G. Vasquez, DDSNPI 1194716803
Title
Owner
Phone
(405) 703-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 126 OK Primary

Addresses

Primary practice location

1224 SW 104TH St
Suite B
Oklahoma City, OK 73139-3020

Mailing address

PO Box 248874
Oklahoma City, OK 73124-8874
Phone (405) 848-7974

Other identifiers 1

IdentifierTypeStateIssuer
200046520AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1224 SW 104th St
Ste B
Oklahoma City, OK 73139
Phone (405) 703-1000

Practitioners & affiliated clinicians

Practitioners 2

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1497894604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248874",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248874",
            "telephone_number": "405-848-7974",
            "fax_number": "405-848-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 SW 104TH ST",
            "address_2": "SUITE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731393020",
            "telephone_number": "405-703-1000",
            "fax_number": "405-703-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENEIDA G VASQUEZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ZENEIDA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-703-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200046520A",
            "state": "OK"
        }
    ],
    "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 Oct 22, 2014; 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.