Organization Active NPI

Sherman J. Menser D.D.S

  • Dentist
  • Midwest City, OK
National Provider Identifier
1609042910
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5183 Issued in OK
Legal business name
SHERMAN J. MENSER D.D.S
Practice address
2809 Shadybrook Dr
Midwest City, OK 73110-3121
Phone
(405) 737-3441
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Tanya L Rodgers
Title
Office Manager
Phone
(405) 737-3441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5183 OK Primary

Addresses

Primary practice location

2809 Shadybrook Dr
Midwest City, OK 73110-3121

Mailing address

2809 Shadybrook Dr
Midwest City, OK 73110-3121
Phone (405) 737-3441

Other identifiers 1

IdentifierTypeStateIssuer
1831134295OtherOKTYPE I NPI

Other names 1

  • Shadybrook Cosmetic & Family Dentistry Doing business as

National Provider Directory

National Provider Directory

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": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1609042910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 SHADYBROOK DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103121",
            "telephone_number": "405-737-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 SHADYBROOK DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103121",
            "telephone_number": "405-737-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN J. MENSER D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-737-3441"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1831134295",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shadybrook Cosmetic & Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.