Organization Active NPI

Small World Pediatric Dentistry, P.C.

  • Pediatric Dentistry
  • Oklahoma City, OK
National Provider Identifier
1821263708
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5169 Issued in OK
Legal business name
SMALL WORLD PEDIATRIC DENTISTRY, P.C.
Practice address
3616 NW 50TH St
Oklahoma City, OK 73112-5642
Phone
(405) 946-0686
Fax
(405) 946-0687
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Andrew Cleveland Guthrie, D.D.S.NPI 1780618330
Title
Owner/President
Phone
(405) 946-0686

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 5169 OK Primary

Addresses

Primary practice location

3616 NW 50TH St
Oklahoma City, OK 73112-5642

Mailing address

3616 NW 50TH St
Oklahoma City, OK 73112-5642
Phone (405) 946-0686

Other names 1

  • Oklahoma City Pedodontist Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

3616 NW 50th St
Oklahoma City, OK 73112
Phone (405) 946-0686

Practitioners & affiliated clinicians

Practitioners 1

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1821263708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125642",
            "telephone_number": "405-946-0686",
            "fax_number": "405-946-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 NW 50TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125642",
            "telephone_number": "405-946-0686",
            "fax_number": "405-946-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL WORLD PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "CLEVELAND",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "405-946-0686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "5169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma City Pedodontist Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.