Organization Active NPI

Affordable Dental

  • Dentist
  • Ponca City, OK
National Provider Identifier
1639601859
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5037 Issued in OK
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, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dr. Quint Whitefield, DDSNPI 1427365899
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.