Organization Active NPI

Okc Dental Health Associates, P.C.

Doing business as My Dentist-Mustang Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mustang, OK
National Provider Identifier
1962822494
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OKC DENTAL HEALTH ASSOCIATES, P.C.
Doing business as
My Dentist-Mustang Orthodontics
Practice address
1041 E. Hwy 152
Mustang, OK 73064
Phone
(405) 275-3800
NPI assigned
Apr 23, 2014
Organization subpart
Yes
Parent organization
OKC DENTAL HEALTH ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Hannah Fish
Title
Credentialing Coordinator
Phone
(217) 540-5699

Specialties & licenses 1

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

Addresses

Primary practice location

1041 E. Hwy 152
Mustang, OK 73064

Mailing address

1041 E. Hwy 152
Mustang, OK 73064

Other names 1

  • My Dentist-Mustang Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Okc Dental Health Associates PC40 organizations share this tax ID, including this one
Part of
Okc Dental Health Associates PC

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1962822494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E. HWY 152",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "73064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E. HWY 152",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "73064",
            "telephone_number": "405-275-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKC DENTAL HEALTH ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKC DENTAL HEALTH ASSOCIATES, P.C.",
        "enumeration_date": "2014-04-23",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5699"
    },
    "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": [
        {
            "organization_name": "My Dentist-Mustang Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mustang, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.