Active NPI
Yvonne Safo-Kwakye, D.D.S
- Dentist
- Owasso, OK
National Provider Identifier
1811339880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6563
- Practice address
- 9025 N 121St East Ave
Owasso, OK 74055-5398 - Phone
- (918) 731-4266
- NPI assigned
- Jul 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6563 | OK | Primary |
| Dentist | 122300000X | 29024 | TX |
Addresses
Primary practice location
9025 N 121St East Ave
Owasso, OK 74055-5398
Mailing address
9025 N 121St East Ave
Owasso, OK 74055-5398
Phone (918) 731-4266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29024 | TX | MD | Dentist |
| 6563 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1811339880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9025 N 121ST EAST AVE",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555398",
"telephone_number": "918-731-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9025 N 121ST EAST AVE",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555398",
"telephone_number": "918-731-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFO-KWAKYE",
"first_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-19",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6563",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29024",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owasso, OK
- Beverly J Rubino, M.D.
- Dacey Rucker
- Carl Joseph Rudiger
- Rustic Health Home Care LLC
- Tara Ryan-Safran, D.F.M., NCMTMB
- Saint Francis Select, LLC (Saint Francis Physical Therapy)
- Darelyn Lee Salvatori, RPTA
- Robert Thomas Salvatori, DPT
- Sam's East, Inc. (Sam's Optical Center 30-6238)
- Sams East Inc (Sam's Pharmacy #10-6238)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.