Organization Active NPI

Linda L Miner DMD Professional Corp

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1578726626
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
952 Issued in OK
Legal business name
LINDA L MINER DMD PROFESSIONAL CORP
Practice address
1145 W I 240 Service Rd
BLDG D
Oklahoma City, OK 73139-2134
Phone
(405) 631-3877
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Linda Lou Miner, DMD
Title
Dentist
Phone
(405) 631-3877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 952 OK Primary

Addresses

Primary practice location

1145 W I 240 Service Rd
BLDG D
Oklahoma City, OK 73139-2134

Mailing address

1145 SW 74
BLDG D
Oklahoma City, OK 73139
Phone (405) 631-3877

National Provider Directory

National Provider Directory

Locations

1145 W I 240 Service Rd
Bldg D
Oklahoma City, OK 73139
Phone (405) 605-3101

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1578726626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 SW 74",
            "address_2": "BLDG D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-631-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W I 240 SERVICE RD",
            "address_2": "BLDG D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392134",
            "telephone_number": "405-631-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA L MINER DMD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-631-3877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "952",
            "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 Jul 9, 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.