Skiatook Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5725 Issued in OK

Legal business name

SKIATOOK FAMILY DENTISTRY

Practice address

102 S Cherry St
Skiatook, OK 74070-1321

Phone

(918) 396-7373

Fax

(918) 376-6185

NPI assigned

Jan 11, 2010

Last updated

Jan 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Drake Khristin Sellmeyer, D.D.S.NPI 1285666750

Title

Dentist

Phone

(918) 396-7373

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Drake K Sellmeyer, DDS

  • General Practice Dentistry
  • Skiatook, OK
  • NPI 1285666750
  NPD (past) Authorized official
• G. Meghan Sellmeyer, D.D.S

  • General Practice Dentistry
  • Skiatook, OK
  • NPI 1952539017
  NPD (past)

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1962732164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S CHERRY ST",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740701321",
            "telephone_number": "918-396-7373",
            "fax_number": "918-376-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S CHERRY ST",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740701321",
            "telephone_number": "918-396-7373",
            "fax_number": "918-376-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIATOOK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "SELLMEYER",
        "authorized_official_first_name": "DRAKE",
        "authorized_official_middle_name": "KHRISTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-396-7373",
        "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": "5725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Valentine Russell, SBD
• Holly L Scoggins
• Sdo Group LLC (Skiatook Family Clinic)
• Drake K Sellmeyer, DDS
• G. Meghan Sellmeyer, D.D.S
• Skiatook Fire Department
• Skiatook Medical LLC
• Skiatook Nursing Home, LLC
• Skiatook Osteopathic Clinic, Inc
• Skiatook Public Schools

• General Practice Dentistry in Skiatook, OK
• Providers in Skiatook, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.