NPIMap

Organization Active NPI

Green Country Dental Arts of Catoosa

  • General Practice Dentistry
National Provider Identifier
1932458312
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6403 Issued in OK
Legal business name
GREEN COUNTRY DENTAL ARTS OF CATOOSA
Practice address
1755 N. Highway 66
Suite C
Catoosa, OK 74015
UM
Phone
(918) 266-6470
Fax
(918) 266-6473
NPI assigned
Aug 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Dr. Soren Chase Michaelsen, D.D.S.NPI 1982964045
Title
Dentist
Phone
(918) 266-6470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6403 OK Primary

Addresses

Primary practice location

1755 N. Highway 66
Suite C
Catoosa, OK 74015
UM

Mailing address

PO Box 1980
Catoosa, OK 74015-1980
Phone (918) 266-6470

National Provider Directory

National Provider Directory

Locations

1755 N Highway 66
Ste C
Catoosa, OK 74015
Phone (918) 266-6470

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1932458312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1980",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740151980",
            "telephone_number": "918-266-6470",
            "fax_number": "918-266-6473"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "1755 N. HIGHWAY 66",
            "address_2": "SUITE C",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "74015",
            "telephone_number": "918-266-6470",
            "fax_number": "918-266-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNTRY DENTAL ARTS OF CATOOSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "MICHAELSEN",
        "authorized_official_first_name": "SOREN",
        "authorized_official_middle_name": "CHASE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-266-6470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.