Olive Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

OK6497 Issued in OK

Legal business name

OLIVE DENTAL

Practice address

5500 NW Expressway Ste B
Warr Acres, OK 73132-5218

Phone

(405) 470-2200

Fax

(405) 470-2392

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Qiong Zhou Liu, DDS

Title

Owner

Phone

(405) 470-2200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1831605419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NW EXPRESSWAY STE B",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325218",
            "telephone_number": "405-470-2200",
            "fax_number": "405-470-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 NW EXPRESSWAY STE B",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325218",
            "telephone_number": "405-470-2200",
            "fax_number": "405-470-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "QIONG",
        "authorized_official_middle_name": "ZHOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-470-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "OK6497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629400510",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ocean Dental, PC
• Oikos Realitie Trade LLC
• Okc Neurology-Catherine E Porter MD, PLLC
• Okc Scripts LLC
• Oklahoma CVS Pharmacy LLC
• Olive Dental Okc PLLC
• Kaylie Renee Ortiz
• Paf Home Care, LLC
• Sonal Patel
• Rachel Alexandra Paxton, PHARMD

• Dental Clinic/Center in Warr Acres, OK
• Providers in Warr Acres, OK by specialty
• Dental Clinic/Center 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.