Individual provider Active NPI

Richard Redfern Hollander, D.D.S., PHD.

  • General Practice Dentistry
  • Midwest City, OK
National Provider Identifier
1891802831
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53166 Issued in OK
Practice address
6912 E Reno Ave Ste 300
Midwest City, OK 73110-2157
Phone
(405) 737-8831
Fax
(405) 737-8872
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 53166 OK Primary

Addresses

Primary practice location

6912 E Reno Ave Ste 300
Midwest City, OK 73110-2157

Mailing address

6912 E Reno Ave Ste 300
Midwest City, OK 73110-2157
Phone (405) 737-8831

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
53166OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Hollander D.D.S. 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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891802831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 E RENO AVE STE 300",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102157",
            "telephone_number": "405-737-8831",
            "fax_number": "405-737-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 E RENO AVE STE 300",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102157",
            "telephone_number": "405-737-8831",
            "fax_number": "405-737-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "RICHARD",
        "middle_name": "REDFERN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "53166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.