Active NPI
Zachary D Nortch
- Dentist
- Jenks, OK
National Provider Identifier
1508564774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7793
- Practice address
- 11476 S Union St Ste 102
Jenks, OK 74037-6909 - Phone
- (918) 417-6511
- NPI assigned
- Feb 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 7793 | OK | Primary |
Addresses
Primary practice location
11476 S Union St Ste 102
Jenks, OK 74037-6909
Mailing address
2305 E Winston St
Broken Arrow, OK 74011-7473
Phone (936) 645-8264
Other practice location 1
8210 Floyd Curl Dr
San Antonio, TX 78229-3923
Phone (936) 645-8264
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 |
|---|---|---|---|
| 7793 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1508564774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 E WINSTON ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740117473",
"telephone_number": "936-645-8264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11476 S UNION ST STE 102",
"city": "JENKS",
"state": "OK",
"postal_code": "740376909",
"telephone_number": "918-417-6511"
}
],
"practiceLocations": [
{
"address_1": "8210 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293923",
"country_code": "US",
"telephone_number": "936-645-8264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORTCH",
"first_name": "ZACHARY",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-17",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "7793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.