Active NPI
Jimmy Lloyd, DDS
- General Practice Dentistry
- Edmond, OK
National Provider Identifier
1649204587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3237
- Practice address
- 3633 Wagonwheel Rd
Edmond, OK 73034-5815 - Phone
- (405) 359-0483
- Fax
- (580) 234-4254
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3237 | OK | Primary |
Addresses
Primary practice location
3633 Wagonwheel Rd
Edmond, OK 73034-5815
Mailing address
3633 Wagonwheel Rd
Edmond, OK 73034-5815
Phone (405) 359-0483
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 |
|---|---|---|---|
| 3237 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1649204587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 WAGONWHEEL RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345815",
"telephone_number": "405-359-0483",
"fax_number": "580-234-4254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 WAGONWHEEL RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345815",
"telephone_number": "405-359-0483",
"fax_number": "580-234-4254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLOYD",
"first_name": "JIMMY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "3237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.