Grant Pitt DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GRANT PITT DDS PLLC

Doing business as

Pitt on Penn

Practice address

17840 N Pennsylvania Ave
Edmond, OK 73012-9097

Phone

(405) 509-2286

NPI assigned

Jan 18, 2021

Last updated

Jan 18, 2021By 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

Grant PittNPI 1689861346

Title

Owner

Phone

(405) 641-3747

Specialties & licenses 1

Addresses

Other names 1

• Pitt on Penn Doing business as

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.

• Grant D Pitt, D.D.S.

  • General Practice Dentistry
  • Yukon, OK
  • NPI 1689861346
  NPD Authorized official
• Rebekah Ann Pitt

  • Professional Counselor
  • Edmond, OK
  • NPI 1780592360
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1740870393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 LOBLOLLY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730121252",
            "telephone_number": "405-226-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17840 N PENNSYLVANIA AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129097",
            "telephone_number": "405-509-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT PITT DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "PITT",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-641-3747"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pitt on Penn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joni Lia Graham, LPC-CANDIDATE
• Kaylee Graham
• Patricia Lynn Graham, M.S. SLP
• Wendell Nathaniel Graham
• Kelsey Granger
• Christopher Grant
• Jonathan Grant
• David Josip Grasic, MD
• Arista Graves, PTA
• Rita Elaine Gray-Martin, M. ED

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.