Active NPI
Board of Regents of the University of Oklahoma, Health Sciences Center
- Dentist
- Oklahoma City, OK
National Provider Identifier
1669520862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100749420A | Medicaid | OK |
Other names 1
- College of Dentistry Student Clinics
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.
-
- Dentist
- Oklahoma City, OK
- NPI 1093863128
-
- Periodontics
- Oklahoma City, OK
- NPI 1396902854
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
- Board of Regents of the University of Oklahoma-Ou Physicians
- Board of Regents of the University of Oklahoma-Ou Physicians
- Board of Regents of the University of Oklahoma-Ou Physicians
- Board of Regents of the University of Oklahoma-Ou Physicians
- Board of Regents of the University of Oklahoma-Ou Physicians
- Board of Regents University of Oklahoma College of Dentistry
- Board of Rengents of the Univ of Oklahoma - Ou Phys Breast Institute
- Jalisha Boatman
- McKinley Boatner, PA
- Jay Saunders Bobb, DO
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.