NPIMap

Organization Active NPI

Family Dentistry

  • Dentist
  • Ponca City, OK
National Provider Identifier
1558744995
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7645 Issued in OK
Legal business name
FAMILY DENTISTRY
Practice address
1618 N 5TH St Ste 2
Ponca City, OK 74601-2764
Phone
(580) 762-5624
NPI assigned
Jul 2, 2015
Last updated
Jul 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Quint Whitefield, DDSNPI 1427365899
Title
Dentist
Phone
(580) 762-5624

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7645 OK Primary

Addresses

Primary practice location

1618 N 5TH St Ste 2
Ponca City, OK 74601-2764

Mailing address

1618 N 5TH St Ste 2
Ponca City, OK 74601-2764
Phone (580) 762-5624

National Provider Directory

National Provider Directory
Tax ID family
Quint a Whitefield DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1618 N 5th St
Ste 2
Ponca City, OK 74601
Phone (580) 762-5624

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": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1558744995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 N 5TH ST STE 2",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012764",
            "telephone_number": "580-762-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 N 5TH ST STE 2",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012764",
            "telephone_number": "580-762-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "WHITEFIELD",
        "authorized_official_first_name": "QUINT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "580-762-5624",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "7645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.