Individual provider Active NPI

Christopher Andrew Minnigh, DDS

  • Dentist
  • Shawnee, OK
National Provider Identifier
1972949576
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6502 Issued in OK
Practice address
1414 N Kennedy Ave
Suite 102
Shawnee, OK 74801-4700
Phone
(405) 273-3270
Fax
(405) 273-3467
NPI assigned
May 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6502 OK Primary

Addresses

Primary practice location

1414 N Kennedy Ave
Suite 102
Shawnee, OK 74801-4700

Mailing address

1414 N Kennedy Ave
Suite 102
Shawnee, OK 74801-4700
Phone (405) 273-3270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6502OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Minnigh, DDS, P.L.L.C Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1972949576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N KENNEDY AVE",
            "address_2": "SUITE 102",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748014700",
            "telephone_number": "405-273-3270",
            "fax_number": "405-273-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N KENNEDY AVE",
            "address_2": "SUITE 102",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748014700",
            "telephone_number": "405-273-3270",
            "fax_number": "405-273-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNIGH",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.