Organization Active NPI

Safari Dental Inc

  • General Practice Dentistry
  • Midwest City, OK
National Provider Identifier
1699005736
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5183 Issued in OK
Legal business name
SAFARI DENTAL INC
Practice address
2809 Shadybrook Dr
Midwest City, OK 73110-3121
Phone
(405) 737-3441
Fax
(405) 737-5445
NPI assigned
Jan 13, 2010
Last updated
Jan 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Mrs. Nikita J Menser
Title
Business Manager
Phone
(405) 737-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5183 OK Primary

Addresses

Primary practice location

2809 Shadybrook Dr
Midwest City, OK 73110-3121

Mailing address

2809 Shadybrook Dr
Midwest City, OK 73110-3121
Phone (405) 737-3441

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1699005736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 SHADYBROOK DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103121",
            "telephone_number": "405-737-3441",
            "fax_number": "405-737-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 SHADYBROOK DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103121",
            "telephone_number": "405-737-3441",
            "fax_number": "405-737-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFARI DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "MENSER",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "405-737-5445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5183",
            "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 Jan 13, 2010; 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.