Organization Active NPI

Edmond Family Dental Designs

  • General Practice Dentistry
  • Edmond, OK
National Provider Identifier
1508905068
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3653 Issued in OK
Legal business name
EDMOND FAMILY DENTAL DESIGNS
Practice address
233 E 10TH Street PLZ
Edmond, OK 73034-4737
Phone
(405) 341-6134
Fax
(405) 341-5164
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. W. Scott Waugh, D.D.S.
Title
General Denstist
Phone
(405) 341-6134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3653 OK Primary

Addresses

Primary practice location

233 E 10TH Street PLZ
Edmond, OK 73034-4737

Mailing address

PO Box 1459
Edmond, OK 73083-1459
Phone (405) 341-6134

National Provider Directory

National Provider Directory

Locations

233 E 10th Street Plz
Edmond, OK 73034
Phone (405) 341-6134

Practitioners & affiliated clinicians

Practitioners 1

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": "1598054400000",
    "number": "1508905068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1459",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730831459",
            "telephone_number": "405-341-6134",
            "fax_number": "405-341-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E 10TH STREET PLZ",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344737",
            "telephone_number": "405-341-6134",
            "fax_number": "405-341-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMOND FAMILY DENTAL DESIGNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "W. SCOTT",
        "authorized_official_title_or_position": "GENERAL DENSTIST",
        "authorized_official_telephone_number": "405-341-6134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.