NPIMap

Organization Active NPI

Perry Smiles

  • Dental Clinic/Center
  • Perry, OK
National Provider Identifier
1831796580
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PERRY SMILES
Practice address
301 N 15TH St
Perry, OK 73077-5014
Phone
(580) 336-2255
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Brad Nelson
Title
Owner
Phone
(405) 260-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

301 N 15TH St
Perry, OK 73077-5014

Mailing address

301 N 15TH St
Perry, OK 73077-5014
Phone (580) 336-2255

National Provider Directory

National Provider Directory

Locations

301 N 15th St
Perry, OK 73077
Phone (580) 336-2255

505 N 14th St
Ste B
Perry, OK 73077
Phone (580) 336-2255

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1831796580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 15TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775014",
            "telephone_number": "580-336-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 15TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775014",
            "telephone_number": "580-336-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-260-6080"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, OK

Sources for this page

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

Verify at the official NPI Registry.