H Dyke Moffatt, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4618 Issued in OK

Practice address

8816 S Pennsylvania Ave
Suite 300
Oklahoma City, OK 73159-5232

Phone

(405) 682-4665

Fax

(405) 682-0667

NPI assigned

Aug 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• H Dyke Moffatt D.D.S., P.C.

  • Dental Clinic/Center
  • Oklahoma City, OK
  • NPI 1578738340
  NPD (past)
• Southern Smiles Dental PC

  • Dentist
  • Oklahoma City, OK
  • NPI 1033508312
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770593402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 S PENNSYLVANIA AVE",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731595232",
            "telephone_number": "405-682-4665",
            "fax_number": "405-682-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8816 S PENNSYLVANIA AVE",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731595232",
            "telephone_number": "405-682-4665",
            "fax_number": "405-682-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "H",
        "middle_name": "DYKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "4618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID #",
            "identifier": "557588",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Moeder, MD
• Abby Michelle Moeller, PA-C
• Micah Moeller, MPT
• Hannah Moery, MD
• Kaylee Moesta
• Linda Marshall Moffatt, LPC, LADC, ICAD
• Mohamed Farouk Kanaa M.D., Inc.
• Walaa Mohamed, MD
• Aamir Mohammad, MD
• Ali A Mohammad, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.