Individual provider Active NPI

Edward Harroz Jr., D.D.S.

  • General Practice Dentistry
  • Midwest City, OK
National Provider Identifier
1932248416
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4240 Issued in OK
Practice address
7215 E Reno Ave
Midwest City, OK 73110-4446
Phone
(405) 737-5905
Fax
(405) 739-0328
NPI assigned
Feb 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4240 OK Primary

Addresses

Primary practice location

7215 E Reno Ave
Midwest City, OK 73110-4446

Mailing address

PO Box 30078
Midwest City, OK 73140-3078
Phone (405) 737-5905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627001875 OK Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9537450259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4240OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentistry by Design General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932248416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30078",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731403078",
            "telephone_number": "405-737-5905",
            "fax_number": "405-739-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104446",
            "telephone_number": "405-737-5905",
            "fax_number": "405-739-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARROZ",
        "first_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.