Active NPI
James Prescott, DMD
- General Practice Dentistry
- Moore, OK
National Provider Identifier
1700303328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7000
- Practice address
- 1060 SW 4TH St Ste 200
Moore, OK 73160-2494 - Phone
- (405) 494-4961
- NPI assigned
- Aug 24, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7000 | OK | Primary |
Addresses
Primary practice location
1060 SW 4TH St Ste 200
Moore, OK 73160-2494
Mailing address
2216 Lone Oak Way
Edmond, OK 73034-4291
Phone (405) 684-3203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7000 | OK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1700303328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2216 LONE OAK WAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730344291",
"telephone_number": "405-684-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 SW 4TH ST STE 200",
"city": "MOORE",
"state": "OK",
"postal_code": "731602494",
"telephone_number": "405-494-4961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOTT",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-24",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.