Cowboy Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COWBOY DENTAL PLLC

Practice address

823 S Pine St
Stillwater, OK 74074-4350

Phone

(405) 372-1155

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Austin Brasher, DDS

Title

Member

Phone

(405) 250-2255

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.

• Taylor Peterson, D.D.S.

  • Dentist
  • Stillwater, OK
  • NPI 1205765070
  NPD (past)
• Craig D Spaulding, D.D.S.,PC

  • General Practice Dentistry
  • Stillwater, OK
  • NPI 1053359646
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1972289619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S BROADWAY STE 350",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134040",
            "telephone_number": "580-670-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S PINE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744350",
            "telephone_number": "405-372-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWBOY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "BRASHER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-250-2255",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cothran, M.S.
• Cary Couch
• Counseling and Behavioral Specialists of Oklahoma
• Trevor Paul Courouleau, AU.D.
• Cynthia J Courtright
• Lisa G Cowchok
• Ainsley Nicole Cowin, RBT
• Melissa Sue Cox, LD
• Karen Coy
• Allie Beth Craig, LCSW

• General Practice Dentistry in Stillwater, OK
• Providers in Stillwater, 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 Jun 27, 2023; 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.