Active NPI
Dr Christian H Pilgrim DDS PC
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1669449872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5554
- Legal business name
- DR CHRISTIAN H PILGRIM DDS PC
- Practice address
- 717 SW 119TH St
Oklahoma City, OK 73170 - Phone
- (405) 691-0836
- Fax
- (405) 691-0480
- NPI assigned
- Mar 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christian H Pilgrim, DDS.
- Title
- Owner / Dentist
- Phone
- (405) 691-0836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5554 | OK | Primary |
Addresses
Primary practice location
717 SW 119TH St
Oklahoma City, OK 73170
Mailing address
717 SW 119TH St
Oklahoma City, OK 73170
Phone (405) 691-0836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1309163 | Other | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
717 SW 119th St
Oklahoma City, OK 73170
Phone (405) 691-0836
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Okalahoma City, OK
- NPI 1477520237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366070400000",
"number": "1669449872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 SW 119TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73170",
"telephone_number": "405-691-0836",
"fax_number": "405-691-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 SW 119TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73170",
"telephone_number": "405-691-0836",
"fax_number": "405-691-0480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR CHRISTIAN H PILGRIM DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-07",
"last_updated": "2013-04-16",
"status": "A",
"authorized_official_last_name": "PILGRIM",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER / DENTIST",
"authorized_official_telephone_number": "405-691-0836",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "5554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1309163",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.