Active NPI
Constance Schreck, DMD
- General Practice Dentistry
- Yukon, OK
National Provider Identifier
1861920886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7523
- Practice address
- 1300 Crop Cir
Yukon, OK 73099-4945 - Phone
- (405) 267-0617
- NPI assigned
- Jun 3, 2017
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7523 | OK | Primary |
Addresses
Primary practice location
1300 Crop Cir
Yukon, OK 73099-4945
Mailing address
3400 Sawgrass Rd
Edmond, OK 73034-8370
Phone (405) 408-2307
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7523 | OK | MD | Social Worker |
| 32886 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732406400000",
"number": "1861920886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SAWGRASS RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730348370",
"telephone_number": "405-408-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 CROP CIR",
"city": "YUKON",
"state": "OK",
"postal_code": "730994945",
"telephone_number": "405-267-0617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRECK",
"first_name": "CONSTANCE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-03",
"last_updated": "2024-11-24",
"certification_date": "2024-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.