Bobby Don Cheatham, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

422062SPECIALTY Issued in OK

Practice address

2800 North Kelly Avenue
200
Edmond, OK 73003-3004

Phone

(405) 562-2222

Fax

(405) 562-2200

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bobby D. Cheatham,D.D.S.,PC

  • Pediatric Dentistry
  • Edmond, OK
  • NPI 1275057887
  Authorized official Same address or phone
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568567493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CHERRY HILL LANE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208105",
            "telephone_number": "405-755-9837",
            "fax_number": "405-752-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 NORTH KELLY AVENUE",
            "address_2": "200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033004",
            "telephone_number": "405-562-2222",
            "fax_number": "405-562-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "BOBBY",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "422062SPECIALTY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123080A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123080D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zunilda Chaudry, M.ED
• Laodibet Rocio Chavarria
• Crystal Chavez
• Sarah Ann Chavez, APRN
• Victoria Chavez
• Nancy Chemwou
• Haojia Chen
• Kevin Wu Chen
• Melody Shyann Nicole Cheney
• Michael M Cheng, D.D.S., PC

• Pediatric Dentistry in Edmond, OK
• Providers in Edmond, OK by specialty
• Pediatric Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.