Carrie DS Family Dentistry Inc

Primary specialty

DentistTaxonomy code 122300000X

License

5239 Issued in OK

Legal business name

CARRIE DS FAMILY DENTISTRY INC

Doing business as

Riverwalk Dental Spa

Practice address

400 Riverwalk Terrace
Suite 200
Jenks, OK 74037-5627

Phone

(918) 392-7654

Fax

(918) 518-5760

NPI assigned

Feb 17, 2011

Last updated

Sep 9, 2014By 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. Carrie D Sessom, D.D.S.NPI 1063537975

Title

Owner

Phone

(918) 392-7654

Specialties & licenses 2

Addresses

Other names 1

• Riverwalk Dental Spa Doing business as

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.

• Carrie D Sessom, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tulsa, OK
  • NPI 1063537975

  Customized Equipment

  NPD (past) Authorized official

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1750688248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TERRACE",
            "address_2": "SUITE 200",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375627",
            "telephone_number": "918-392-7654",
            "fax_number": "918-518-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TERRACE",
            "address_2": "SUITE 200",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375627",
            "telephone_number": "918-392-7654",
            "fax_number": "918-518-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE DS FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "SESSOM",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-392-7654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverwalk Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula Renee Camuti
• Karin R. Cantrell, MS, CCC/SP
• Care Contributors LLC
• Stephanie Carper
• Reina Carrasco
• Meghan Caster
• Nataly Jiselle Castro
• Michael Chad Chamberlain, D.O.
• Chaz White Anesthesia Services PC
• Angela Chesnut, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.