NPIMap

Organization Active NPI

Crossroads Family Dentistry

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1760539936
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4635 Issued in OK
Legal business name
CROSSROADS FAMILY DENTISTRY
Practice address
8101 S Walker Ave
#D
Oklahoma City, OK 73139-9418
Phone
(405) 631-0322
Fax
(405) 631-8620
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Maryann Morrison
Title
Office Manager
Phone
(405) 631-0322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4635 OK Primary

Addresses

Primary practice location

8101 S Walker Ave
#D
Oklahoma City, OK 73139-9418

Mailing address

8101 S Walker Ave
#D
Oklahoma City, OK 73139-9418
Phone (405) 631-0322

National Provider Directory

National Provider Directory

Locations

8101 S Walker Ave
Ste D
Oklahoma City, OK 73139
Phone (405) 631-0322

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760539936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 S WALKER AVE",
            "address_2": "#D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399418",
            "telephone_number": "405-631-0322",
            "fax_number": "405-631-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 S WALKER AVE",
            "address_2": "#D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399418",
            "telephone_number": "405-631-0322",
            "fax_number": "405-631-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-631-0322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4635",
            "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 Aug 22, 2020; 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.