Individual provider Active NPI

Bruce Townsend, D.M.D

  • Dentist
  • Broken Arrow, OK
National Provider Identifier
1972986495
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7551 Issued in OK
Practice address
732 W New Orleans St Ste 132
Broken Arrow, OK 74011-1845
Phone
(918) 451-9066
Fax
(918) 451-9069
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7551 OK Primary

Addresses

Primary practice location

732 W New Orleans St Ste 132
Broken Arrow, OK 74011-1845

Mailing address

732 W New Orleans St Ste 132
Broken Arrow, OK 74011-1845
Phone (918) 451-9066

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
7551OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Refresh Dentistry PastSince Nov 20, 2022 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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1972986495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 W NEW ORLEANS ST STE 132",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111845",
            "telephone_number": "918-451-9066",
            "fax_number": "918-451-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 W NEW ORLEANS ST STE 132",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111845",
            "telephone_number": "918-451-9066",
            "fax_number": "918-451-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.