Roy Maddox DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4417 Issued in OK

Legal business name

ROY MADDOX DDS PC

Practice address

13000 South Memorial Drive
Bixby, OK 74008

Phone

(918) 369-1202

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Roy Maddox, DDS PCNPI 1548437072

Title

Owner/President

Phone

(918) 369-1202

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roy Guest Maddox, DDS

  • General Practice Dentistry
  • Bixby, OK
  • NPI 1548437072
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1720165616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 SOUTH MEMORIAL DRIVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "74008",
            "telephone_number": "918-369-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 SOUTH MEMORIAL DRIVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "74008",
            "telephone_number": "918-369-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY MADDOX DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "918-369-1202",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Danielle Rice
• Tiffany Richardson, RN
• Riverstone Medical LLC
• Paige Lauren Rogers, DO
• Cathy Ross, MS CCC-SLP
• McKenna Ruff
• Kelly Marie Sample
• Sand Plum Limited Partnership
• Kristin Sauser, PA-C
• Kayley Schubert

• General Practice Dentistry in Bixby, OK
• Providers in Bixby, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.