Organization Active NPI

Denise Bandl

Doing business as Speech Pathology Associates

  • Speech-Language Pathologist
  • Cleveland, OK
National Provider Identifier
1518480581
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
874 Issued in OK
Legal business name
DENISE BANDL
Doing business as
Speech Pathology Associates
Practice address
910 W Caddo St
Cleveland, OK 74020-4256
Phone
(918) 695-2672
Fax
(918) 695-2672
NPI assigned
Jul 21, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mrs. Denise Bandl, M.S., CCC-SLP, ATPNPI 1710904438
Title
Owner
Phone
(918) 695-2672

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
Speech-Language Pathologist 235Z00000X 874 OK Primary

Addresses

Primary practice location

910 W Caddo St
Cleveland, OK 74020-4256

Mailing address

1071 Chickasaw Rd
Sand Springs, OK 74063-6865
Phone (918) 695-2672

Other practice location 1

1071 Chickasaw Rd
Sand Springs, OK 74063-6865
Phone (918) 695-2672

Other identifiers 1

IdentifierTypeStateIssuer
100656260AMedicaidOK

Other names 1

  • Speech Pathology Associates Doing business as

National Provider Directory

National Provider Directory

Locations

910 W Caddo St
Cleveland, OK 74020
Phone (918) 695-2672

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1518480581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 CHICKASAW RD",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740636865",
            "telephone_number": "918-695-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W CADDO ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740204256",
            "telephone_number": "918-695-2672",
            "fax_number": "918-695-2672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1071 Chickasaw Rd",
            "address_purpose": "LOCATION",
            "city": "Sand Springs",
            "state": "OK",
            "postal_code": "740636865",
            "country_code": "US",
            "telephone_number": "918-695-2672",
            "fax_number": "918-695-2672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENISE BANDL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BANDL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-695-2672",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP, ATP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100656260A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Pathology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.