Individual provider Active NPI

Jessica Bragg

  • Dentist
  • Chickasha, OK
National Provider Identifier
1831762863
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7518 Issued in OK
Practice address
2328 S 4TH St
Chickasha, OK 73018-6804
Phone
(214) 729-0800
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 37419 TX
Dentist 122300000X 7518 OK Primary

Addresses

Primary practice location

2328 S 4TH St
Chickasha, OK 73018-6804

Mailing address

823 N FM 548 Ste 130
Forney, TX 75126-7142
Phone (214) 729-0800

Other practice location 1

823 N Fm 548 Ste 130
Forney, TX 75126-7142
Phone (469) 431-0199

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

State licenses

LicenseStateTypeSpecialty
37419TXMDGeneral Practice Dentistry
7518OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Airos Dentistry PLLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

823 N FM 548
Ste 130
Forney, TX 75126
Phone (469) 431-0199

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1831762863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 N FM 548 STE 130",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751267142",
            "telephone_number": "214-729-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 S 4TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730186804",
            "telephone_number": "214-729-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 N Fm 548 Ste 130",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751267142",
            "country_code": "US",
            "telephone_number": "469-431-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37419",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.