Justine Dautenhahn, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

13103 Issued in OK

Practice address

1125 N Porter Ave
Suite 100
Norman, OK 73071-6443

Phone

(405) 364-1071

NPI assigned

Nov 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CT Center of Norman LLC

  • Diagnostic Radiology Physician
  • Norman, OK
  • NPI 1376534693
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1790766582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701387",
            "telephone_number": "405-321-8125",
            "fax_number": "405-321-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE",
            "address_2": "SUITE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716443",
            "telephone_number": "405-364-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUTENHAHN",
        "first_name": "JUSTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "13103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254070B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300047500",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Elizabeth Darley Larsen
• Joni M Darnell I, L.C.S.W.
• Darren E Britz Edd PC
• Alison Dart, LCSW
• Karleen Talley Daugherty, MSW
• Hanh Davari, PA-C
• Kirstyn Davenport
• Daves Healthmart Pharmacy Inc
• Angel Ralyn Daves
• Michael Frank Daves, PH.D.

• Diagnostic Radiology Physician in Norman, OK
• Providers in Norman, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.