NPIMap

Organization Active NPI

Ocean Dental, PC

  • General Practice Dentistry
  • Shawnee, OK
National Provider Identifier
1720128002
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OCEAN DENTAL, PC
Practice address
4409 N Kickapoo Ave
Shawnee, OK 74804-1206
Phone
(405) 273-7077
Fax
(405) 273-9093
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Chad B. Hoecker, DDS
Title
Owner
Phone
(405) 707-0600

Specialties & licenses 1

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

Addresses

Primary practice location

4409 N Kickapoo Ave
Shawnee, OK 74804-1206

Mailing address

206 W 6TH Ave
Stillwater, OK 74074-4017
Phone (405) 707-0600

Other names 1

  • Star Dental Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Ocean Dental PC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4409 N Kickapoo Ave
Shawnee, OK 74804
Phone (405) 242-4100

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1720128002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744017",
            "telephone_number": "405-707-0600",
            "fax_number": "405-707-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 N KICKAPOO AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041206",
            "telephone_number": "405-273-7077",
            "fax_number": "405-273-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "HOECKER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-707-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.