Organization Active NPI

Comprehensive Dental and Oral Care

  • General Practice Dentistry
  • Edmond, OK
National Provider Identifier
1871754440
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5905 Issued in OK
Legal business name
COMPREHENSIVE DENTAL AND ORAL CARE
Practice address
1713A W 33Rd St
Edmond, OK 73013-3819
Phone
(405) 348-9911
Fax
(405) 348-9915
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Lida Radfar, DDS, MSNPI 1871668855
Title
Director
Phone
(405) 348-9911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5905 OK
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5905 OK Primary

Addresses

Primary practice location

1713A W 33Rd St
Edmond, OK 73013-3819

Mailing address

1713A W 33Rd St
Edmond, OK 73013-3819
Phone (405) 348-9911

National Provider Directory

National Provider Directory

Locations

1713 W 33rd St
Ste A
Edmond, OK 73013
Phone (405) 348-9911

1713 W 33rd St
Edmond, OK 73013
Phone (405) 348-9911

Practitioners & affiliated clinicians

Practitioners 1

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": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1871754440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713A W 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133819",
            "telephone_number": "405-348-9911",
            "fax_number": "405-348-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713A W 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133819",
            "telephone_number": "405-348-9911",
            "fax_number": "405-348-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DENTAL AND ORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "RADFAR",
        "authorized_official_first_name": "LIDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-348-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5905",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.