Individual provider Active NPI

Kathleen Higgins, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Oklahoma City, OK
National Provider Identifier
1710413091
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
7487 Issued in OK
Practice address
940 Stanton L Young Blvd # 451
Oklahoma City, OK 73104-5020
Phone
(405) 271-2693
Fax
(405) 271-2568
NPI assigned
May 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 019.032501 IL
Oral and Maxillofacial Pathology Dentistry 1223P0106X 7487 OK Primary

Addresses

Primary practice location

940 Stanton L Young Blvd # 451
Oklahoma City, OK 73104-5020

Mailing address

1201 N Stonewall Ave
Oklahoma City, OK 73117-1214
Phone (405) 271-4333

Other practice location 1

1201 N Stonewall Ave
Oklahoma City, OK 73117-1214
Phone (405) 271-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011002754 OK Practitioner - DentistPractitioner - Pathology 3476984881 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Pathology
Education
Virginia Commonwealth Univ School of Dentistry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 N Stonewall Ave
Oklahoma City, OK 73117-1214
Phone (405) 271-5714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.032501ILMDOral and Maxillofacial Pathology Dentist
7487OKMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Denitstry CurrentSince Nov 30, 2021 Accepting new patients
Board of Regents of the University of Oklahoma CurrentSince Aug 1, 2021 Accepting new patients

Locations

1201 N Stonewall Ave
Ste 280
Oklahoma City, OK 73117

1201 N Stonewall Ave
Oklahoma City, OK 73117
Phone (405) 271-5714

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1710413091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N STONEWALL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171214",
            "telephone_number": "405-271-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 STANTON L YOUNG BLVD # 451",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045020",
            "telephone_number": "405-271-2693",
            "fax_number": "405-271-2568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N Stonewall Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731171214",
            "country_code": "US",
            "telephone_number": "405-271-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "KATHLEEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "IL",
            "license": "019.032501",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "OK",
            "license": "7487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.