Immediate Smiles

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

IMMEDIATE SMILES

Practice address

11317 S Western Ave Ste 100B
Oklahoma City, OK 73170-5848

Phone

(405) 691-0155

Fax

(405) 369-7330

NPI assigned

Apr 15, 2022

Last updated

Apr 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Perry Brooks, DDS

Title

Owner

Phone

(405) 691-0155

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1912640145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11317 S WESTERN AVE STE 100B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705848",
            "telephone_number": "405-691-0155",
            "fax_number": "405-369-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11317 S WESTERN AVE STE 100B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705848",
            "telephone_number": "405-691-0155",
            "fax_number": "405-369-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-691-0155",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114918844",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Immediate Care of Oklahoma L.L.C.
• Immediate Care of Oklahoma LLC
• Immediate Care of Oklahoma, LLC
• Immediate Care of Oklahoma, LLC
• Immediate Care of Oklahoma, LLC
• Stella Imose
• Imperial Concierge Care
• Implant & Prosthodontic Associates, PLLC
• Implant and Oral Surgery of Colorado PLLC
• Impressions Home Health Care

• Oral and Maxillofacial Surgery (Dentist) in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.