Individual provider Active NPI

Linda Lou Miner, D.M.D

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1760498448
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
952 Issued in OK
Practice address
1145 W I 240 Service Rd Ste D
Oklahoma City, OK 73139-2134
Phone
(405) 631-3877
Fax
(405) 631-7414
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 952 OK Primary

Addresses

Primary practice location

1145 W I 240 Service Rd Ste D
Oklahoma City, OK 73139-2134

Mailing address

1145 W I 240 Service Rd Ste D
Oklahoma City, OK 73139-2134
Phone (405) 631-3877

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1760498448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 W I 240 SERVICE RD STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392134",
            "telephone_number": "405-631-3877",
            "fax_number": "405-631-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W I 240 SERVICE RD STE D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392134",
            "telephone_number": "405-631-3877",
            "fax_number": "405-631-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "LINDA",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "952",
            "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 Mar 3, 2009; 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.