Active NPI
Joshua James Mundell, DMD
- General Practice Dentistry
- Moore, OK
National Provider Identifier
1821734492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7546
- Practice address
- 1060 SW 4TH St Ste 200
Moore, OK 73160-2402 - Phone
- (405) 384-7071
- NPI assigned
- May 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7546 | OK | Primary |
Addresses
Primary practice location
1060 SW 4TH St Ste 200
Moore, OK 73160-2402
Mailing address
3005 NW 182ND Ter
Edmond, OK 73012-6803
Phone (208) 790-0011
Other practice location 1
7019 W Hefner Rd
Oklahoma City, OK 73162-4712
Phone (405) 832-3660
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockwell Dental Partners PLLC | General Practice | Current | Accepting new patients |
| South Sooner Dental Partners | General Practice | Past | Accepting new patients |
Locations
7019 W Hefner Rd
Oklahoma City, OK 73162
Phone (405) 832-3660
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1740010388
-
- General Practice Dentistry
- Moore, OK
- NPI 1316458383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1821734492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 NW 182ND TER",
"city": "EDMOND",
"state": "OK",
"postal_code": "730126803",
"telephone_number": "208-790-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 SW 4TH ST STE 200",
"city": "MOORE",
"state": "OK",
"postal_code": "731602402",
"telephone_number": "405-384-7071"
}
],
"practiceLocations": [
{
"address_1": "7019 W Hefner Rd",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731624712",
"country_code": "US",
"telephone_number": "405-832-3660",
"fax_number": "405-832-3661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNDELL",
"first_name": "JOSHUA",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-06",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.