Organization Active NPI

Owasso Family Denistry

  • Dentist
  • Owasso, OK
National Provider Identifier
1629060975
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5191 Issued in OK
Legal business name
OWASSO FAMILY DENISTRY
Practice address
8801 N 145TH East Ave
Owasso, OK 74055-8464
Phone
(918) 274-3779
Fax
(918) 274-4246
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Heng L Lim, DDS
Title
President
Phone
(918) 274-3779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5191 OK Primary

Addresses

Primary practice location

8801 N 145TH East Ave
Owasso, OK 74055-8464

Mailing address

8801 N 145TH East Ave
Owasso, OK 74055-8464
Phone (918) 274-3779

National Provider Directory

National Provider Directory

Locations

8801 N 145th East Ave
Owasso, OK 74055
Phone (918) 274-3779

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629060975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 N 145TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558464",
            "telephone_number": "918-274-3779",
            "fax_number": "918-274-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 N 145TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558464",
            "telephone_number": "918-274-3779",
            "fax_number": "918-274-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWASSO FAMILY DENISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "HENG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-274-3779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.