Crescent Dental Group PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CRESCENT DENTAL GROUP PLLC

Practice address

120 N Grand
Crescent, OK 73028

Phone

(405) 969-3969

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Joshua Brasher, DDSNPI 1386932663

Title

President

Phone

(405) 474-6362

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joshua V Brasher, D.D.S.

  • General Practice Dentistry
  • Edmond, OK
  • NPI 1386932663
  NPD (past) Authorized official

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1578024774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N GRAND",
            "city": "CRESCENT",
            "state": "OK",
            "postal_code": "73028",
            "telephone_number": "405-969-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N GRAND",
            "city": "CRESCENT",
            "state": "OK",
            "postal_code": "73028",
            "telephone_number": "405-969-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-474-6362",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambulance District of the Crescent School District
• Backer Counseling
• Gaye Labeth Backer, LPC
• Kayla Lynn Birchfield, APRN-CNP
• Crescent Manor Inc.
• Crescent Nursing & Rehabilitation LLC
• Delbert Elmer Cronister, BHRS
• Shannon Lee Dunn, DNP, APRN-CNP, FNP-C
• Katrina House

• General Practice Dentistry in Crescent, OK
• Providers in Crescent, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.