Organization Active NPI

Nicholas J Schellati DDS PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Oklahoma City, OK
National Provider Identifier
1669777389
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
052737 Issued in NY
Legal business name
NICHOLAS J SCHELLATI DDS PLLC
Doing business as
Victor Oral Surgery & Dental Implant Center PLLC
Practice address
3000 United Founders Blvd
Suite 237
Oklahoma City, OK 73112-3958
Phone
(405) 848-7974
Fax
(405) 848-0033
NPI assigned
Jan 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Kathy Dresher
Title
Vice President Billing
Phone
(405) 848-7974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 052737 NY Primary

Addresses

Primary practice location

3000 United Founders Blvd
Suite 237
Oklahoma City, OK 73112-3958

Mailing address

6534 Anthony Dr
Suite a
Victor, NY 14564-1403
Phone (877) 667-7669

Other names 1

  • Victor Oral Surgery & Dental Implant Center PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

6534 Anthony Dr
Ste A
Victor, NY 14564
Phone (585) 924-3612

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": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1669777389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6534 ANTHONY DR",
            "address_2": "SUITE A",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641403",
            "telephone_number": "877-667-7669",
            "fax_number": "405-848-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 UNITED FOUNDERS BLVD",
            "address_2": "SUITE 237",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123958",
            "telephone_number": "405-848-7974",
            "fax_number": "405-848-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS J SCHELLATI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "DRESHER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VICE PRESIDENT BILLING",
        "authorized_official_telephone_number": "405-848-7974"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "052737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victor Oral Surgery & Dental Implant Center PLLC",
            "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 Mar 27, 2014; 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.