Organization Active NPI

Dr Christian H Pilgrim DDS PC

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1669449872
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5554 Issued in OK
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

Updated by the provider on Apr 16, 2013

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1309163OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.