Active NPI
Michael Hurd II, RDH
- Dental Hygienist
- Henryetta, OK
National Provider Identifier
1639624968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1946
- Practice address
- 27685 S 170 Rd
Henryetta, OK 74437-1427 - Phone
- (918) 650-2344
- NPI assigned
- Aug 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1946 | OK | Primary |
Addresses
Primary practice location
27685 S 170 Rd
Henryetta, OK 74437-1427
Mailing address
27685 S 170 Rd
Henryetta, OK 74437-1427
Phone (918) 650-2344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1946 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1639624968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27685 S 170 RD",
"city": "HENRYETTA",
"state": "OK",
"postal_code": "744371427",
"telephone_number": "918-650-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27685 S 170 RD",
"city": "HENRYETTA",
"state": "OK",
"postal_code": "744371427",
"telephone_number": "918-650-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURD",
"first_name": "MICHAEL",
"name_suffix": "II",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-16",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OK",
"license": "1946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henryetta, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.