Organization Active NPI

Board of Regents of the University of Oklahoma, Health Sciences Center

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1669520862
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA, HEALTH SCIENCES CENTER
Practice address
1201 N Stonewall Ave RM 265
Oklahoma City, OK 73117-1214
Phone
(405) 271-4711
Fax
(405) 271-2922
NPI assigned
Jan 7, 2007
Organization subpart
Yes
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA, HEALTH SCIENCES CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Lisa Asch
Title
Associate Director Research Admin
Phone
(405) 271-2090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1201 N Stonewall Ave RM 265
Oklahoma City, OK 73117-1214

Mailing address

1000 Stanton L Young Blvd # 121
Oklahoma City, OK 73117-1208
Phone (405) 271-2090

Other identifiers 1

IdentifierTypeStateIssuer
100749420AMedicaidOK

Other names 1

  • College of Dentistry Student Clinics Doing business as

National Provider Directory

National Provider Directory
Part of
Sallisaw State Veterans Home

Locations

1201 N Stonewall Ave
Rm 265
Oklahoma City, OK 73117
Phone (405) 271-4711

Practitioners & affiliated clinicians

Practitioners 2

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": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1669520862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 STANTON L YOUNG BLVD # 121",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171208",
            "telephone_number": "405-271-2090",
            "fax_number": "405-271-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N STONEWALL AVE RM 265",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171214",
            "telephone_number": "405-271-4711",
            "fax_number": "405-271-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA, HEALTH SCIENCES CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA, HEALTH SCIENCES CENTER",
        "enumeration_date": "2007-01-07",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "ASCH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR RESEARCH ADMIN",
        "authorized_official_telephone_number": "405-271-2090"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100749420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College of Dentistry Student Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 30, 2011; 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.