Active NPI
Abdullah Fazli
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1770277832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7669
- Practice address
- 800 N Oklahoma Ave Apt 1240
Oklahoma City, OK 73104-4412 - Phone
- (972) 363-7348
- NPI assigned
- Jun 2, 2023
- Last updated
- Jun 2, 2023
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7669 | OK | Primary |
Addresses
Primary practice location
800 N Oklahoma Ave Apt 1240
Oklahoma City, OK 73104-4412
Mailing address
800 N Oklahoma Ave Apt 1240
Oklahoma City, OK 73104-4412
Phone (972) 363-7348
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 |
|---|---|---|---|
| 7669 | OK | MD | Emergency Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1770277832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N OKLAHOMA AVE APT 1240",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044412",
"telephone_number": "972-363-7348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N OKLAHOMA AVE APT 1240",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044412",
"telephone_number": "972-363-7348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAZLI",
"first_name": "ABDULLAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7669",
"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 Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.