Organization Active NPI

Ok Specialty Dental Services, PLLC

Doing business as Phillip R. Parker DDS, MS, MS, PC

  • Pediatric Dentistry
  • Norman, OK
National Provider Identifier
1790500320
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
OK SPECIALTY DENTAL SERVICES, PLLC
Doing business as
Phillip R. Parker DDS, MS, MS, PC
Practice address
1521 36TH Ave NW
Norman, OK 73072-3252
Phone
(405) 329-8859
NPI assigned
Nov 19, 2024
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
OK SPECIALTY DENTAL SERVICES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Charlotte Dasch
Title
Director of Cred and Prov Rel
Phone
(504) 638-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1521 36TH Ave NW
Norman, OK 73072-3252

Mailing address

1610 54TH Ave N Ste 205
Nashville, TN 37209-1442
Phone (615) 678-0759

Other names 1

  • Phillip R. Parker DDS, MS, MS, PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ok Specialty Dental Services PLLC6 organizations share this tax ID, including this one
Part of
Ok Specialty Dental Services PLLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1521 36th Ave NW
Norman, OK 73072
Phone (405) 329-8859

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1790500320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "615-678-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 36TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723252",
            "telephone_number": "405-329-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK SPECIALTY DENTAL SERVICES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OK SPECIALTY DENTAL SERVICES, PLLC",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIRECTOR OF CRED AND PROV REL",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillip R. Parker DDS, MS, MS, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.