Organization Active NPI

Lori Holden

  • General Practice Dentistry
  • Norman, OK
National Provider Identifier
1649444555
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5786 Issued in OK
Legal business name
LORI HOLDEN
Doing business as
Sooner Smiles
Practice address
3391 Classen Blvd
Norman, OK 73071-1505
Phone
(405) 321-2414
Fax
(405) 321-3835
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Lori Cruz Holden, D.D.S.NPI 1265544209
Title
Owner
Phone
(405) 321-2414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5786 OK Primary

Addresses

Primary practice location

3391 Classen Blvd
Norman, OK 73071-1505

Mailing address

3391 Classen Blvd
Norman, OK 73071-1505
Phone (405) 321-2414

Other identifiers 1

IdentifierTypeStateIssuer
200089410AMedicaidOK

Other names 1

  • Sooner Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

3391 Classen Blvd
Norman, OK 73071
Phone (405) 321-2414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1649444555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3391 CLASSEN BLVD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730711505",
            "telephone_number": "405-321-2414",
            "fax_number": "405-321-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 CLASSEN BLVD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730711505",
            "telephone_number": "405-321-2414",
            "fax_number": "405-321-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI HOLDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-321-2414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200089410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sooner Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.