Olive Dental Okc PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OLIVE DENTAL OKC PLLC

Practice address

5500 NW Expressway Ste B
Warr Acres, OK 73132-5218

Phone

(405) 470-2200

Fax

(405) 470-2392

NPI assigned

Dec 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Michael Onley, DDSNPI 1891286092

Title

Manager

Phone

(405) 612-8577

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Michael Onley, DDS

  • General Practice Dentistry
  • Yukon, OK
  • NPI 1891286092
  NPD Authorized official

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1902444169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NW EXPRESSWAY STE B",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325218",
            "telephone_number": "405-470-2200",
            "fax_number": "405-470-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 NW EXPRESSWAY STE B",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325218",
            "telephone_number": "405-470-2200",
            "fax_number": "405-470-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE DENTAL OKC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "ONLEY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-612-8577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891286092",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Olive Dental
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• Paf Home Care, LLC (Home Instead Senior Care)
• Sonal Patel
• Rachel Alexandra Paxton, PHARMD
• Quynh Tu Phi, PHARM.D.

• General Practice Dentistry in Warr Acres, OK
• Providers in Warr Acres, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.