Spiro Family Dental P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4826 Issued in OK

Legal business name

SPIRO FAMILY DENTAL P.C.

Practice address

318 W Broadway St
Spiro, OK 74959-2422

Phone

(918) 962-2466

Fax

(918) 962-4004

NPI assigned

Oct 11, 2006

Last updated

Jan 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keifer Layne Fisher, D. D. S.NPI 1205822681

Title

President

Phone

(918) 962-2466

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keifer Layne Fisher, DDS

  • General Practice Dentistry
  • Spiro, OK
  • NPI 1205822681
  NPD (past) Authorized official
• Taylor Ridenour, DDS

  • General Practice Dentistry
  • Spiro, OK
  • NPI 1669217683
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1730277740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W BROADWAY ST",
            "city": "SPIRO",
            "state": "OK",
            "postal_code": "749592422",
            "telephone_number": "918-962-2466",
            "fax_number": "918-962-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W BROADWAY ST",
            "city": "SPIRO",
            "state": "OK",
            "postal_code": "749592422",
            "telephone_number": "918-962-2466",
            "fax_number": "918-962-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRO FAMILY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "KEIFER",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-962-2466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "4826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200389460 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooklynn M Rodgers
• Linda M Rodriguez, D.O.
• Charlie Gene Sandlin III
• Sparks Medical Foundation (Spiro Family Medical)
• Spedtemps, LLC
• Spiro Nursing Home, Inc.
• Spiro Public Schools
• Ugc We Gain LLC
• Under Gods Care Inc
• Danny Upchurch

• Dental Clinic/Center in Spiro, OK
• Providers in Spiro, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.