Active NPI
James Robert Reneau, D.D.S.
- Prosthodontics
- Oklahoma City, OK
National Provider Identifier
1750406237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 3776
- Practice address
- 2751 NW Expressway St
Suite 5
Oklahoma City, OK 73112-7084 - Phone
- (404) 840-3363
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 3776 | OK | Primary |
Addresses
Primary practice location
2751 NW Expressway St
Suite 5
Oklahoma City, OK 73112-7084
Mailing address
2751 NW Expressway St
Suite 5
Oklahoma City, OK 73112-7084
Phone (404) 840-3363
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 |
|---|---|---|---|
| 3776 | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1750406237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 NW EXPRESSWAY ST",
"address_2": "SUITE 5",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731127084",
"telephone_number": "404-840-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 NW EXPRESSWAY ST",
"address_2": "SUITE 5",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731127084",
"telephone_number": "404-840-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENEAU",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "OK",
"license": "3776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.