NPIMap

Organization Active NPI

Enhance Dental of Norman

  • Dental Clinic/Center
  • Norman, OK
National Provider Identifier
1821616533
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ENHANCE DENTAL OF NORMAN
Doing business as
Rose Rock Dental
Practice address
1049 12TH Ave NE # 100
Norman, OK 73071-5312
Phone
(405) 360-7800
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Benjamin Bowman
Title
Owner
Phone
(405) 326-8004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1049 12TH Ave NE # 100
Norman, OK 73071-5312

Mailing address

1049 12TH Ave NE Ste 100
Norman, OK 73071-5312

Other names 1

  • Rose Rock Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1049 12th Ave NE
Norman, OK 73071

1049 12th Ave NE
Ste 100
Norman, OK 73071
Phone (405) 360-7800

1049 12th Ave NE
#100
Norman, OK 73071
Phone (405) 360-7800

Practitioners & affiliated clinicians

Practitioners 4

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": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1821616533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 12TH AVE NE STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 12TH AVE NE # 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715312",
            "telephone_number": "405-360-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCE DENTAL OF NORMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-326-8004"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Rock Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rose Rock Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.