Organization Active NPI

Arrowhead Dental Services, PLLC

  • Dentist
  • Midwest City, OK
National Provider Identifier
1689154569
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6052 Issued in OK
Legal business name
ARROWHEAD DENTAL SERVICES, PLLC
Practice address
1405 S Douglas Blvd Ste C
Midwest City, OK 73130-5240
Phone
(918) 645-2540
NPI assigned
Aug 20, 2018
Last updated
Aug 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Chase C Youngblood, DDS
Title
Owner
Phone
(918) 645-2540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6052 OK Primary

Addresses

Primary practice location

1405 S Douglas Blvd Ste C
Midwest City, OK 73130-5240

Mailing address

13381 Prestwick Cir
Choctaw, OK 73020-2037
Phone (918) 645-2540

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1689154569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13381 PRESTWICK CIR",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730202037",
            "telephone_number": "918-645-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S DOUGLAS BLVD STE C",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305240",
            "telephone_number": "918-645-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-645-2540",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.