Endodontics and Implant Associates,PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

72 Issued in OK

Legal business name

ENDODONTICS AND IMPLANT ASSOCIATES,PLLC

Practice address

1621 Midtown Place
Suite B
Midwest City, OK 73130

Phone

(405) 982-2121

Fax

(405) 561-0120

NPI assigned

Apr 18, 2016

Organization subpart

No

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

Authorized official

Name

Andrew Xu, DDS

Title

Member Manager

Phone

(646) 662-3105

Specialties & licenses 1

Addresses

Other names 1

• Endodontics and Dental Implants of Oklahoma Doing business as

Locations

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1922452804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 MIDTOWN PLACE",
            "address_2": "SUITE B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73130",
            "telephone_number": "405-982-2121",
            "fax_number": "405-561-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 MIDTOWN PLACE",
            "address_2": "SUITE B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73130",
            "telephone_number": "405-982-2121",
            "fax_number": "405-561-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTICS AND IMPLANT ASSOCIATES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "646-662-3105",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "72",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontics and Dental Implants of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Darlene Emerson, DDS
• Clara Irene Emery, M.A. CCC-SLP
• Andrea Marcy Emmett, DPT
• En Route Protection LLC
• Endocrinology and Diabetes Specialists of Oklahoma, P.C.
• ENT Associates PLLC
• Epic Dental PLLC
• Ryan Chase Epley
• Kimberly Janean Erbin
• Erica Astrino

• Dentist in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.