NPIMap

Organization Active NPI

Dental Depot Orthodontics SW Okc, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oklahoma City, OK
National Provider Identifier
1962818351
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DENTAL DEPOT ORTHODONTICS SW OKC, PLLC
Practice address
6217 S Western Ave Ste a
Oklahoma City, OK 73139-1605
Phone
(405) 606-7123
Fax
(405) 606-7130
NPI assigned
Jul 7, 2014
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Glenn Allan Ashmore, DDSNPI 1750379921
Title
Owner / President
Phone
(405) 949-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

6217 S Western Ave Ste a
Oklahoma City, OK 73139-1605

Mailing address

6217 S Western Ave Ste a
Oklahoma City, OK 73139-1605
Phone (405) 606-7123

National Provider Directory

National Provider Directory

Locations

6217 S Western Ave
Ste A
Oklahoma City, OK 73139
Phone (405) 606-7123

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": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1962818351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 S WESTERN AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391605",
            "telephone_number": "405-606-7123",
            "fax_number": "405-606-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 S WESTERN AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391605",
            "telephone_number": "405-606-7123",
            "fax_number": "405-606-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEPOT ORTHODONTICS SW OKC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "ASHMORE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "405-949-0123",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "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 7, 2014; 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.