NPIMap

Organization Active NPI

Alameda Family Dentistry Inc

  • Dentist
  • Norman, OK
National Provider Identifier
1558739672
Registry record updated Sep 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4795 Issued in OK
Legal business name
ALAMEDA FAMILY DENTISTRY INC
Practice address
1240 Alameda St
Norman, OK 73071-3007
Phone
(405) 329-5200
NPI assigned
Sep 5, 2015
Last updated
Sep 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2015

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

Authorized official

Name
Mitzi Roberts, DDS
Title
President
Phone
(405) 329-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4795 OK Primary

Addresses

Primary practice location

1240 Alameda St
Norman, OK 73071-3007

Mailing address

1240 Alameda St
Norman, OK 73071-3007

National Provider Directory

National Provider Directory

Locations

1240 Alameda St
Norman, OK 73071
Phone (405) 329-5200

Practitioners & affiliated clinicians

Practitioners 4

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": "1441411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441411200000",
    "number": "1558739672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 ALAMEDA ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730713007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 ALAMEDA ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730713007",
            "telephone_number": "405-329-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-05",
        "last_updated": "2015-09-05",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MITZI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-329-5200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "4795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2015; 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.