Bixby Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4843 Issued in OK

Legal business name

BIXBY FAMILY DENTISTRY PLLC

Practice address

13302 S Memorial Dr
Bixby, OK 74008-3114

Phone

(918) 369-3990

Fax

(918) 369-8505

NPI assigned

Jul 19, 2007

Last updated

Jun 23, 2008By 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. Terry Justin Reavis, D.D.S.NPI 1548220650

Title

Dentist

Phone

(918) 369-3990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Terry Justin Reavis, DDS

  • General Practice Dentistry
  • Bixby, OK
  • NPI 1548220650
  NPD (past) Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1730389669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13302 S MEMORIAL DR",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083114",
            "telephone_number": "918-369-3990",
            "fax_number": "918-369-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13302 S MEMORIAL DR",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083114",
            "telephone_number": "918-369-3990",
            "fax_number": "918-369-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIXBY FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "REAVIS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-369-3990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Bell, MS, CCC-SLP
• Lindsay Janell Bell
• Avery Bennett, CCC-SLP
• Bixby Dental Group, PLLC
• Bixby Dentist, P.C.
• Bixby Health and Rehabilitation, LLC (Southtown Nursing and Ventilator Care)
• Bixby Manor, LLC (Bixby Manor)
• Bixby North Clinic of Chiropractic
• Bixby Public School
• Bixby Spartan Dental PLLC (Spartan Family Dentistry)

• 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 Jun 23, 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.