Organization Active NPI

RDC at 16C, LLC

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1861020075
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RDC AT 16C, LLC
Practice address
1108 NW 16TH St
Oklahoma City, OK 73106-6001
Phone
(405) 751-4556
Fax
(405) 751-4558
NPI assigned
Apr 1, 2020
Last updated
Apr 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
LANCE R. SCHMIDT, DDS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Mrs. Charla Armstrong
Title
Insurance Coordinator
Phone
(405) 751-4556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1108 NW 16TH St
Oklahoma City, OK 73106-6001

Mailing address

1108 NW 16TH St
Oklahoma City, OK 73106-6001
Phone (405) 751-4556

Other identifiers 1

IdentifierTypeStateIssuer
200045990AMedicaidOK

Other names 1

  • Reflections Dental Care Former legal business name

National Provider Directory

National Provider Directory
Part of
Lance R Schmidt DDS PC

Locations

1108 NW 16th St
Oklahoma City, OK 73106
Phone (405) 525-1561

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1861020075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 NW 16TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066001",
            "telephone_number": "405-751-4556",
            "fax_number": "405-751-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 NW 16TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066001",
            "telephone_number": "405-751-4556",
            "fax_number": "405-751-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDC AT 16C, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANCE R. SCHMIDT, DDS, PC",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "405-751-4556",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200045990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections Dental Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.