Organization Active NPI

Custom Dental of Purcell, PLLC

  • General Practice Dentistry
  • Purcell, OK
National Provider Identifier
1508195397
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6121 Issued in OK
Legal business name
CUSTOM DENTAL OF PURCELL, PLLC
Practice address
700 Chandler Rd.
Purcell, OK 73080
Phone
(405) 282-6440
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Ryan Lee Turpin, DDS
Title
Dentist
Phone
(405) 282-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6121 OK Primary

Addresses

Primary practice location

700 Chandler Rd.
Purcell, OK 73080

Mailing address

2001 S Division St
Guthrie, OK 73044-6063
Phone (405) 282-6440

National Provider Directory

National Provider Directory

Locations

700 Chandler Rd
Purcell, OK 73080
Phone (405) 282-6440

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1508195397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S DIVISION ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730446063",
            "telephone_number": "405-282-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHANDLER RD.",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "73080",
            "telephone_number": "405-282-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM DENTAL OF PURCELL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "TURPIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-282-6440",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.