Active NPI
Jillian Renae Prather, D.M.D.
- Dentist
- Owasso, OK
National Provider Identifier
1851742589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6852
- Practice address
- 12814 E 101St PL N
#101
Owasso, OK 74055-4662 - Phone
- (918) 274-4466
- NPI assigned
- Jun 23, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6852 | OK | Primary |
Addresses
Primary practice location
12814 E 101St PL N
#101
Owasso, OK 74055-4662
Mailing address
12814 E 101St PL N
#101
Owasso, OK 74055-4662
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 |
|---|---|---|---|
| 6852 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris Ward DDS & Associates | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Owasso, OK
- NPI 1891035051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1851742589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12814 E 101ST PL N",
"address_2": "#101",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12814 E 101ST PL N",
"address_2": "#101",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554662",
"telephone_number": "918-274-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATHER",
"first_name": "JILLIAN",
"middle_name": "RENAE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.