Active NPI
Walnut Ranch Dental, PLLC
- Dental Clinic/Center
- Ardmore, OK
National Provider Identifier
1902409170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- WALNUT RANCH DENTAL, PLLC
- Practice address
- 1610 Walnut Dr
Ardmore, OK 73401-2331 - Phone
- (580) 226-1244
- NPI assigned
- Nov 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph S Treanor, DDS, MS
- Title
- Dentist/ Owner
- Phone
- (580) 226-1244
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1610 Walnut Dr
Ardmore, OK 73401-2331
Mailing address
1610 Walnut Dr
Ardmore, OK 73401-2331
Phone (580) 226-1244
Other names 1
- Walnut Ranch Dental Spa
National Provider Directory
National Provider DirectoryLocations
1610 Walnut Dr
Ardmore, OK 73401
Phone (580) 226-1244
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Ardmore, OK
- NPI 1154851392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609891200000",
"number": "1902409170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 WALNUT DR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012331",
"telephone_number": "580-226-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 WALNUT DR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012331",
"telephone_number": "580-226-1244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALNUT RANCH DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-19",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A",
"authorized_official_last_name": "TREANOR",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "DENTIST/ OWNER",
"authorized_official_telephone_number": "580-226-1244",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Walnut Ranch Dental Spa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.