Meagan Showalter

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7860 Issued in OK

Practice address

1009 Parkwoods Dr
Noble, OK 73068-9391

Phone

(405) 872-9597

NPI assigned

May 22, 2024

Last updated

May 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Lodge of Noble, PLLC

  • Dentist
  • Noble, OK
  • NPI 1326525072
  NPD (past)

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1659110328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 NW STERLING ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721239",
            "telephone_number": "818-519-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 PARKWOODS DR",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730689391",
            "telephone_number": "405-872-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "MEAGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://dentallodge.com/noble",
            "affiliation": "Y",
            "endpointDescription": "https://dentallodge.com/noble",
            "affiliationName": "Dental Lodge of Noble, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1009 Parkwoods Dr",
            "city": "Noble",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730689391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christianne Michelle Robberson, MED, MT, LPCC
• Joseph C Rohr
• Cheryl Lynn Sanders, CCC-SLP
• Shae Keen, LPC
• Emily J Shockley, NP
• Jared Russell Smith, D.D.S.
• Shalon Margaret Stokes, MA, LMFT CANDIDATE
• Lisa Summars
• Amanda Thacker, RN
• The Dental Lodge

• General Practice Dentistry in Noble, OK
• Providers in Noble, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.