NPIMap

Organization Active NPI

Cantwell Dental Clinic, PC

  • General Practice Dentistry
  • Hinton, OK
National Provider Identifier
1831490960
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5047 Issued in OK
Legal business name
CANTWELL DENTAL CLINIC, PC
Practice address
109 1/2 East Main Street
Hinton, OK 73047-1002
Phone
(405) 542-3700
Fax
(405) 542-3785
NPI assigned
Nov 5, 2010
Last updated
Nov 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dr. Susan Denise Cantwell, DDSNPI 1033138839
Title
Ceo/Dentist
Phone
(405) 542-3700

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
General Practice Dentistry 1223G0001X 5047 OK Primary

Addresses

Primary practice location

109 1/2 East Main Street
Hinton, OK 73047-1002

Mailing address

109 1/2 East Main Street
Box 1002
Hinton, OK 73047-1002
Phone (405) 542-3700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1831490960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 1/2 EAST MAIN STREET",
            "address_2": "BOX 1002",
            "city": "HINTON",
            "state": "OK",
            "postal_code": "730471002",
            "telephone_number": "405-542-3700",
            "fax_number": "405-542-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 1/2 EAST MAIN STREET",
            "city": "HINTON",
            "state": "OK",
            "postal_code": "730471002",
            "telephone_number": "405-542-3700",
            "fax_number": "405-542-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTWELL DENTAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "CANTWELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "405-542-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.