NPIMap

Organization Active NPI

Red Oak Dental

  • Dentist
  • Red Oak, TX
National Provider Identifier
1649678897
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18729 Issued in TX
Legal business name
RED OAK DENTAL
Practice address
269 E Ovilla Rd Ste 300
Red Oak, TX 75154-2616
Phone
(972) 576-0248
NPI assigned
Dec 19, 2014
Last updated
Dec 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Elbert H Stokes, DDS
Title
Partial Owner
Phone
(972) 576-0248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18729 TX Primary

Addresses

Primary practice location

269 E Ovilla Rd Ste 300
Red Oak, TX 75154-2616

Mailing address

269 E Ovilla Rd Ste 300
Red Oak, TX 75154-2616

National Provider Directory

National Provider Directory

Locations

269 E Ovilla Rd
Ste 300
Red Oak, TX 75154
Phone (972) 576-0248

Practitioners & affiliated clinicians

Practitioners 2

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": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1649678897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 E OVILLA RD STE 300",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751542616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 E OVILLA RD STE 300",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751542616",
            "telephone_number": "972-576-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED OAK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "ELBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTIAL OWNER",
        "authorized_official_telephone_number": "972-576-0248",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.