NPIMap

Organization Active NPI

East Norman Dental

  • General Practice Dentistry
  • Norman, OK
National Provider Identifier
1790942431
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4835 Issued in OK
Legal business name
EAST NORMAN DENTAL
Practice address
443 12TH Ave NE
Norman, OK 73071-5241
Phone
(405) 360-0018
Fax
(405) 360-1178
NPI assigned
May 20, 2008
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Larry Lavelett, D.D.S.NPI 1487667093
Title
Dentist
Phone
(405) 360-0018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4835 OK Primary

Addresses

Primary practice location

443 12TH Ave NE
Norman, OK 73071-5241

Mailing address

443 12TH Ave NE
Norman, OK 73071-5241
Phone (405) 360-0018

Other identifiers 50

IdentifierTypeStateIssuer
4835OtherAPWU
4835OtherBCBS OF ALABAMA
4835OtherDELTA DENTAL USA
4835OtherMUTUAL ASSURANCE
4835OtherHARRINGTON BENEFIT SERVICES
4835OtherUNICARE
4835OtherMETLIFE
4835OtherMAILHANDLERS
4835OtherAMERICAN HEALTH GROUP, INC.
4835OtherQUADMED
4835OtherDELTA DENTAL OF ILLINOIS
4835OtherUNITED MEDICAL RESOURCES
4835OtherFMH
4835OtherBCBS
4835OtherCSCS
4835OtherAETNA
4835OtherDELTA DENTAL OF MISSOURI
4835OtherBROKERS NATIONAL LIFE
4835OtherDELTA DENTAL OF CALIFORNIA
4835OtherDELTA DENTAL
4835OtherNTCA
4835OtherPRINCIPAL
4835OtherOSMA
4835OtherUNITED HEALTHCARE
4835OtherJEFFERSON PILOT
4835OtherGEHA
4835OtherKEMPTON GROUP ADMIN, INC.
4835OtherWASHINGTON DENTAL SERVICES
4835OtherFORTIS
4835OtherCIGNA
4835OtherBCBS FEDERAL
4835OtherTRISURANT
4835OtherUNITED CONCORDIA
4835OtherDELTA DENTAL OF NEW JERSEY
4835OtherAIG
4835OtherGREAT CORNERSTONE
4835OtherBCBS OF TEXAS
4835OtherDELTA DENTAL OF ARKANSAS
4835OtherHUMANA DENTAL
4835OtherAMERITAS
4835OtherCENTRAL STATES FUNDS
4835OtherASSURANT
4835OtherGUARDIAN
4835OtherDELTA DENTAL OF COLORADO
4835OtherBCBS OF ILLINOIS
4835OtherWATERSTONE
4835OtherBENEFIT PLANNERS
4835OtherDELTA DENTAL OF RI
4835OtherEMPLOYERS GROUP INSURANCE
4835OtherDELTA DENTAL OF PA

National Provider Directory

National Provider Directory

Locations

443 12th Ave NE
Norman, OK 73071
Phone (405) 360-0018

Practitioners & affiliated clinicians

Practitioners 2

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1790942431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 12TH AVE NE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715241",
            "telephone_number": "405-360-0018",
            "fax_number": "405-360-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 12TH AVE NE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715241",
            "telephone_number": "405-360-0018",
            "fax_number": "405-360-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST NORMAN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "LAVELETT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-360-0018",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APWU",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL USA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL ASSURANCE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARRINGTON BENEFIT SERVICES",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METLIFE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH GROUP, INC.",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUADMED",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF ILLINOIS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MEDICAL RESOURCES",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FMH",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSCS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF MISSOURI",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BROKERS NATIONAL LIFE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF CALIFORNIA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NTCA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRINCIPAL",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSMA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JEFFERSON PILOT",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEMPTON GROUP ADMIN, INC.",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DENTAL SERVICES",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORTIS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRISURANT",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF NEW JERSEY",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AIG",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT CORNERSTONE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF ARKANSAS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA DENTAL",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERITAS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRAL STATES FUNDS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSURANT",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUARDIAN",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF COLORADO",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WATERSTONE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BENEFIT PLANNERS",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF RI",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYERS GROUP INSURANCE",
            "identifier": "4835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF PA",
            "identifier": "4835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 20, 2008; 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.