NPIMap

Organization Active NPI

Jamie L. Guthrie, DDS Inc, P.C.

  • General Practice Dentistry
  • Ardmore, OK
National Provider Identifier
1962586388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5565 Issued in OK
Legal business name
JAMIE L. GUTHRIE, DDS INC, P.C.
Practice address
1119 Walnut Dr
Suite 3
Ardmore, OK 73401-2364
Phone
(580) 224-9600
Fax
(580) 224-9603
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mainda M Camplain, LPN
Title
Office Manager
Phone
(580) 224-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5565 OK Primary

Addresses

Primary practice location

1119 Walnut Dr
Suite 3
Ardmore, OK 73401-2364

Mailing address

1119 Walnut Dr
Suite 3
Ardmore, OK 73401-2364
Phone (580) 224-9600

National Provider Directory

National Provider Directory

Locations

1119 Walnut Dr
Ste 3
Ardmore, OK 73401
Phone (580) 224-9600

Practitioners & affiliated clinicians

Practitioners 1

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962586388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 WALNUT DR",
            "address_2": "SUITE 3",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012364",
            "telephone_number": "580-224-9600",
            "fax_number": "580-224-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 WALNUT DR",
            "address_2": "SUITE 3",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012364",
            "telephone_number": "580-224-9600",
            "fax_number": "580-224-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE L. GUTHRIE, DDS INC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPLAIN",
        "authorized_official_first_name": "MAINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-224-9600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.