Organization Active NPI

Endodontic Associates PLLC

  • Endodontics
  • Oklahoma City, OK
National Provider Identifier
1952919052
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
ENDODONTIC ASSOCIATES PLLC
Practice address
4500 Memorial Cir
Oklahoma City, OK 73142-5002
Phone
(405) 748-6000
Fax
(405) 749-5900
NPI assigned
Jul 15, 2020
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Mrs. Cara Nelson
Title
Office Manager
Phone
(405) 748-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

4500 Memorial Cir
Oklahoma City, OK 73142-5002

Mailing address

4500 Memorial Cir
Oklahoma City, OK 73142-5002
Phone (405) 748-6000

National Provider Directory

National Provider Directory

Locations

4500 Memorial Cir
Oklahoma City, OK 73142
Phone (405) 748-6000

Practitioners & affiliated clinicians

Practitioners 4

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": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1952919052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731425002",
            "telephone_number": "405-748-6000",
            "fax_number": "405-749-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731425002",
            "telephone_number": "405-748-6000",
            "fax_number": "405-749-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-748-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 15, 2020; 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.