Individual provider Active NPI

Jana Kay Oister, DDS

  • Dentist
  • Cherokee, OK
National Provider Identifier
1861422016
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5155 Issued in OK
Practice address
204 Southgate Addn
Cherokee, OK 73728
Phone
(580) 596-3541
Fax
(580) 596-3542
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5155 OK Primary

Addresses

Primary practice location

204 Southgate Addn
Cherokee, OK 73728

Mailing address

1506 S Grand Ave
Cherokee, OK 73728-4529
Phone (580) 596-3541

Other identifiers 1

IdentifierTypeStateIssuer
100126180AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204001815 OK Order and Referring Only - DentistPractitioner - Dentist 1951605344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5155OKMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1861422016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S GRAND AVE",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "737284529",
            "telephone_number": "580-596-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SOUTHGATE ADDN",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "73728",
            "telephone_number": "580-596-3541",
            "fax_number": "580-596-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OISTER",
        "first_name": "JANA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, OK

Sources for this page

Verify at the official NPI Registry.