NPIMap

Organization Active NPI

El Reno Dental

  • Dentist
  • El Reno, OK
National Provider Identifier
1922361104
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6395 Issued in OK
Legal business name
EL RENO DENTAL
Practice address
2005 Parkview Dr
Suite 2
El Reno, OK 73036-2150
Phone
(405) 262-1919
NPI assigned
Jun 21, 2012
Last updated
Jun 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Benjamin Bowman, D.D.S.
Title
Dentist
Phone
(405) 262-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6395 OK Primary

Addresses

Primary practice location

2005 Parkview Dr
Suite 2
El Reno, OK 73036-2150

Mailing address

2005 Parkview Dr
Suite 2
El Reno, OK 73036-2150
Phone (405) 262-1919

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1922361104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PARKVIEW DR",
            "address_2": "SUITE 2",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362150",
            "telephone_number": "405-262-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PARKVIEW DR",
            "address_2": "SUITE 2",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362150",
            "telephone_number": "405-262-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL RENO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-262-1919",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "6395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.