Organization Active NPI

Jemima Poitevien, D.D.S., P.L.L.C.

Doing business as Children's Dental Haven

  • Pediatric Dentistry
  • Oklahoma City, OK
National Provider Identifier
1932684297
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JEMIMA POITEVIEN, D.D.S., P.L.L.C.
Doing business as
Children's Dental Haven
Practice address
4225 W Memorial Rd Ste 101-B
Oklahoma City, OK 73134-1761
Phone
(405) 923-8289
NPI assigned
Oct 2, 2018
Last updated
Oct 2, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
JEMIMA POITEVIEN, D.D.S.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Dr. Jemima Poitevien, D.D.S.NPI 1417999731
Title
Owner
Phone
(405) 923-8289

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
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

4225 W Memorial Rd Ste 101-B
Oklahoma City, OK 73134-1761

Mailing address

PO Box 21224
Oklahoma City, OK 73156-1224
Phone (405) 923-8289

Other names 1

  • Children's Dental Haven Doing business as

National Provider Directory

National Provider Directory

Locations

4225 W Memorial Rd
Ste 101B
Oklahoma City, OK 73134
Phone (405) 608-8806

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1932684297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21224",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731561224",
            "telephone_number": "405-923-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W MEMORIAL RD STE 101-B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341761",
            "telephone_number": "405-923-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEMIMA POITEVIEN, D.D.S., P.L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEMIMA POITEVIEN, D.D.S.",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "POITEVIEN",
        "authorized_official_first_name": "JEMIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-923-8289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.