KB Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KB DENTISTRY PLLC

Doing business as

Dental Express

Practice address

2712 SW 29TH St
Oklahoma City, OK 73119-1806

Phone

(405) 212-4549

Fax

(405) 212-4548

NPI assigned

Feb 7, 2019

Organization subpart

No

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

Authorized official

Name

Anusha Koneru, DDS

Title

Owner

Phone

(405) 212-4549

Specialties & licenses 1

Addresses

Other names 1

• Dental Express Doing business as

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1821553447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 SW 29TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731191806",
            "telephone_number": "405-212-4549",
            "fax_number": "405-212-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 SW 29TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731191806",
            "telephone_number": "405-212-4549",
            "fax_number": "405-212-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KONERU",
        "authorized_official_first_name": "ANUSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-212-4549",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kermit Eugene Kay, PHARMD
• Hitesh Kayastha, DDS
• Douglas Bruce Kaye, RPH
• Kaylee D Terrell PLLC
• Faustino Mires Kazenske, D.O.
• Kci USA, Inc. (3M Medical Solutions)
• Keisha Kearney
• Wendy Kearney, BA SOCIOLOGY
• Keetra Kearns
• Jadiamond Kearse

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.