Active NPI
Denise Bandl
Doing business as Speech Pathology Associates
- Speech-Language Pathologist
- Cleveland, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 874
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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, ATP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100656260A | Medicaid | OK |
Other names 1
- Speech Pathology Associates
National Provider Directory
National Provider DirectoryLocations
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.
-
- Speech-Language Pathologist
- Sand Springs, OK
- NPI 1710904438
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.