NPIMap

Organization Active NPI

Stephen W Garder

  • Dentist
  • Moore, OK
National Provider Identifier
1801060751
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4599 Issued in OK
Legal business name
STEPHEN W GARDER
Practice address
808 NE 19TH St
Moore, OK 73160-6302
Phone
(405) 799-5529
Fax
(405) 799-8223
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Stephen W Garder, DDSNPI 1992861991
Title
Dentist
Phone
(405) 799-5529

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4599 OK Primary

Addresses

Primary practice location

808 NE 19TH St
Moore, OK 73160-6302

Mailing address

808 NE 19TH St
Moore, OK 73160-6302
Phone (405) 799-5529

National Provider Directory

National Provider Directory

Locations

808 NE 19th St
Moore, OK 73160
Phone (405) 799-5529

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1801060751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 NE 19TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606302",
            "telephone_number": "405-799-5529",
            "fax_number": "405-799-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 NE 19TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606302",
            "telephone_number": "405-799-5529",
            "fax_number": "405-799-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN W GARDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "GARDER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-799-5529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "4599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.