Active NPI
Affordable Dental
- Dentist
- Ponca City, OK
National Provider Identifier
1639601859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5037
- Legal business name
- AFFORDABLE DENTAL
- Practice address
- 1618 N 5TH St Ste 4
Ponca City, OK 74601 - Phone
- (580) 765-0112
- Fax
- (580) 762-5644
- NPI assigned
- Mar 28, 2017
- Last updated
- Mar 28, 2017
- Organization subpart
- Yes
- Parent organization
- FAMILY DENTISTRY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Quint Whitefield, DDS
- Title
- Owner/Dentist
- Phone
- (580) 762-5624
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5037 | OK | Primary |
Addresses
Primary practice location
1618 N 5TH St Ste 4
Ponca City, OK 74601
Mailing address
1618 N 5TH St Ste 4
Ponca City, OK 74601-2764
Phone (580) 765-0112
National Provider Directory
National Provider Directory- Part of
- Family Dentistry
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Ponca City, OK
- NPI 1427365899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490659200000",
"number": "1639601859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 N 5TH ST STE 4",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746012764",
"telephone_number": "580-765-0112",
"fax_number": "580-762-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 N 5TH ST STE 4",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "74601",
"telephone_number": "580-765-0112",
"fax_number": "580-762-5644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFORDABLE DENTAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY DENTISTRY",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A",
"authorized_official_last_name": "WHITEFIELD",
"authorized_official_first_name": "QUINT",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "580-762-5624",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OK",
"license": "5037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.