NPIMap

Organization Active NPI

Brian R. Shafer DDS, P.C.

  • Dentist
  • El Reno, OK
National Provider Identifier
1962680207
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5388 Issued in OK
Legal business name
BRIAN R. SHAFER DDS, P.C.
Practice address
701 W Watts St
El Reno, OK 73036-4458
Phone
(405) 262-2739
Fax
(405) 262-2905
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Dr. Brian Ray Shafer, D.D.S.NPI 1992802508
Title
Owner
Phone
(405) 262-2739

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5388 OK Primary

Addresses

Primary practice location

701 W Watts St
El Reno, OK 73036-4458

Mailing address

701 W Watts St
El Reno, OK 73036-4458
Phone (405) 262-2739

National Provider Directory

National Provider Directory

Locations

701 W Watts St
El Reno, OK 73036
Phone (405) 262-2739

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": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1962680207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W WATTS ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364458",
            "telephone_number": "405-262-2739",
            "fax_number": "405-262-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W WATTS ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364458",
            "telephone_number": "405-262-2739",
            "fax_number": "405-262-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN R. SHAFER DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-262-2739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.