Custom Dental South Oklahoma City

Primary specialty

DentistTaxonomy code 122300000X

License

6745 Issued in OK

Legal business name

CUSTOM DENTAL SOUTH OKLAHOMA CITY

Practice address

6800 S Western Ave
Oklahoma City, OK 73139-1809

Phone

(405) 631-7571

NPI assigned

Nov 10, 2015

Last updated

Nov 10, 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

Carson Louis Nail, DMD

Title

Dentist

Phone

(405) 631-7571

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1740653930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391809",
            "telephone_number": "405-631-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391809",
            "telephone_number": "405-631-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM DENTAL SOUTH OKLAHOMA CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "NAIL",
        "authorized_official_first_name": "CARSON",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-631-7571",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200592780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Arthur Curtis
• Shana Curtis, RBT
• Veronica V Curtis I, NURSE PRACTITIONER
• Cheryl Custer, M.ED.,CCC,SLP
• Custom Dental of Edmond, PLLC
• Custom Pharmacy Innovations Inc
• McKenzie Nichole Cutter
• Courtney Cuzalina, APRN, CNP
• Cvi Oklahoma, P.C
• Oliver Anthony Cvitanic, M.D.

• Dentist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.