Active NPI
Skylar Fogerty, DDS
- Dentist
- Bethany, OK
National Provider Identifier
1730018615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8197
- Practice address
- 6301 NW 23Rd St
Bethany, OK 73008-5931 - Phone
- (405) 495-2402
- NPI assigned
- May 16, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 8197 | OK | Primary |
Addresses
Primary practice location
6301 NW 23Rd St
Bethany, OK 73008-5931
Mailing address
637 NE 106TH St
Oklahoma City, OK 73131-4501
Phone (918) 645-8221
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 |
|---|---|---|---|
| 8197 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Square LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Bethany, OK
- NPI 1164979076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778889600000",
"number": "1730018615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 NE 106TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731314501",
"telephone_number": "918-645-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 NW 23RD ST",
"city": "BETHANY",
"state": "OK",
"postal_code": "730085931",
"telephone_number": "405-495-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGERTY",
"first_name": "SKYLAR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-16",
"last_updated": "2026-05-16",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "8197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethany, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.