Organization Active NPI

Wesley R. Lucas, D.D.S.

  • General Practice Dentistry
  • Woodward, OK
National Provider Identifier
1669694642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3239 Issued in OK
Legal business name
WESLEY R. LUCAS, D.D.S.
Practice address
1120 18TH St
Woodward, OK 73801-2921
Phone
(580) 256-6054
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wesley Lucas R, D.D.S.
Title
President
Phone
(580) 256-6054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3239 OK Primary

Addresses

Primary practice location

1120 18TH St
Woodward, OK 73801-2921

Mailing address

1120 18TH St
Woodward, OK 73801-2921

National Provider Directory

National Provider Directory

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669694642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 18TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 18TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012921",
            "telephone_number": "580-256-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY R. LUCAS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "R",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-256-6054",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.