Active NPI
Jessica Bragg
- Dentist
- Chickasha, OK
National Provider Identifier
1831762863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7518
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 37419 | TX | MD | General Practice Dentistry |
| 7518 | OK | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Airos Dentistry PLLC | Current | 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.
-
- Dental Clinic/Center
- Forney, TX
- NPI 1083495840
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.