Individual provider Active NPI

Andrew Max Noble, D.D.S.

  • Dentist
  • Bartlesville, OK
National Provider Identifier
1821386756
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7649 Issued in OK
Practice address
2320 Nowata PL
Bartlesville, OK 74006-4744
Phone
(918) 731-2576
NPI assigned
Jul 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8029303-9922 UT
General Practice Dentistry 1223G0001X DE 60342662 WA
General Practice Dentistry 1223G0001X D010444 AZ
General Practice Dentistry 1223G0001X 7649 OK
Dentist 122300000X 7649 OK Primary

Addresses

Primary practice location

2320 Nowata PL
Bartlesville, OK 74006-4744

Mailing address

2320 Nowata PL
Bartlesville, OK 74006-4744

Other practice location 1

504 S Lynn Riggs Blvd
Claremore, OK 74017-7814
Phone (918) 283-7377

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
D010444AZMDGeneral Practice Dentistry
7649OKMDGeneral Practice Dentistry
8029303-9922UTMDGeneral Practice Dentistry
DE 60342662WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Consumerhealth, Inc. Past Accepting new patients
Nurani, Mitchell, Kim, PC Dentist Past Accepting new patients
Andrew M. Noble, DDS,PLLC General Practice PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1821386756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 NOWATA PL",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 NOWATA PL",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064744",
            "telephone_number": "918-731-2576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 S Lynn Riggs Blvd",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740177814",
            "country_code": "US",
            "telephone_number": "918-283-7377",
            "fax_number": "918-203-0718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "ANDREW",
        "middle_name": "MAX",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8029303-9922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60342662",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010444",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7649",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.