Active NPI
Arrowhead Dental Services, PLLC
- Dentist
- Midwest City, OK
National Provider Identifier
1689154569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6052
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.