NPIMap

Organization Active NPI

J Russell Danner DDS

  • Dental Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1568639623
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5165 Issued in OK
Legal business name
J RUSSELL DANNER DDS
Practice address
4514 Memorial Cir Ste a
Oklahoma City, OK 73142-5005
Phone
(405) 749-1676
Fax
(405) 749-1898
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. John Russell Danner, DDSNPI 1245317064
Title
Dentist
Phone
(405) 749-1676

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
Dental Clinic/Center 261QD0000X 5165 OK Primary

Addresses

Primary practice location

4514 Memorial Cir Ste a
Oklahoma City, OK 73142-5005

Mailing address

4514 Memorial Cir Ste a
Oklahoma City, OK 73142-5005
Phone (405) 749-1676

National Provider Directory

National Provider Directory

Locations

4514 Memorial Cir
Ste A
Oklahoma City, OK 73142
Phone (405) 749-1676

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1568639623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 MEMORIAL CIR STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731425005",
            "telephone_number": "405-749-1676",
            "fax_number": "405-749-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 MEMORIAL CIR STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731425005",
            "telephone_number": "405-749-1676",
            "fax_number": "405-749-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J RUSSELL DANNER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "DANNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-749-1676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "5165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.