Organization Active NPI

Noda PLLC

  • Dentist
  • Blackwell, OK
National Provider Identifier
1922765452
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NODA PLLC
Practice address
427 W Doolin Ave
Blackwell, OK 74631-1602
Phone
(580) 670-9100
NPI assigned
Nov 18, 2021
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Joshua Brasher, DDS
Title
Dentist
Phone
(405) 474-6362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

427 W Doolin Ave
Blackwell, OK 74631-1602

Mailing address

427 W Doolin Ave
Blackwell, OK 74631-1602
Phone (580) 670-9100

National Provider Directory

National Provider Directory

Locations

427 W Doolin Ave
Blackwell, OK 74631
Phone (580) 670-9100

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1922765452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W DOOLIN AVE",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746311602",
            "telephone_number": "580-670-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W DOOLIN AVE",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746311602",
            "telephone_number": "580-670-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NODA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-474-6362",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwell, OK

Sources for this page

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

Verify at the official NPI Registry.