Active NPI
Latonya Lynn Shelton-Miller, D.D.S.
- General Practice Dentistry
- Norman, OK
National Provider Identifier
1730236753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5707
- Practice address
- 15951 Little Axe Dr
Norman, OK 73026-9088 - Phone
- (405) 447-0300
- Fax
- (405) 701-7914
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5707 | OK | Primary |
Addresses
Primary practice location
15951 Little Axe Dr
Norman, OK 73026-9088
Mailing address
15951 Little Axe Dr
Norman, OK 73026-9088
Phone (405) 447-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200036110A | Medicaid | OK |
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 |
|---|---|---|---|
| 5707 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers Inc. | Past | Accepting new patients | |
| Community Health Centers Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1265415806
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1376725812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1730236753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15951 LITTLE AXE DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730269088",
"telephone_number": "405-447-0300",
"fax_number": "405-701-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15951 LITTLE AXE DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730269088",
"telephone_number": "405-447-0300",
"fax_number": "405-701-7914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON-MILLER",
"first_name": "LATONYA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "5707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200036110A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.