Organization Active NPI

Laura B. Ousley, D.D.S., PC

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1700064219
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5144 Issued in OK
Legal business name
LAURA B. OUSLEY, D.D.S., PC
Practice address
11205 N May Ave
Suite a
Oklahoma City, OK 73120-6329
Phone
(405) 755-4450
Fax
(405) 755-4481
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Laura B Ousley, D.D.S.NPI 1295742328
Title
Owner
Phone
(405) 755-4450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5144 OK Primary

Addresses

Primary practice location

11205 N May Ave
Suite a
Oklahoma City, OK 73120-6329

Mailing address

11205 N May Ave
Suite a
Oklahoma City, OK 73120-6329
Phone (405) 755-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201104002757 OK DME Supplier - Oral Surgery - Dentist 9638589559 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

11205 N May Ave
Ste A
Oklahoma City, OK 73120
Phone (405) 249-2380

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": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1700064219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 N MAY AVE",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731206329",
            "telephone_number": "405-755-4450",
            "fax_number": "405-755-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 N MAY AVE",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731206329",
            "telephone_number": "405-755-4450",
            "fax_number": "405-755-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA B. OUSLEY, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "OUSLEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-755-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.