NPIMap

Organization Active NPI

Berkshire Dental Group PLC

  • General Practice Dentistry
  • Broken Arrow, OK
National Provider Identifier
1982870838
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4660 Issued in OK
Legal business name
BERKSHIRE DENTAL GROUP PLC
Practice address
8701 S Garnett Rd
Broken Arrow, OK 74012
Phone
(918) 250-9528
Fax
(918) 250-9529
NPI assigned
May 1, 2008
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
BERKSHIRE DENTAL GROUP PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Wesley Mark Hodge, DMDNPI 1861464687
Title
President
Phone
(918) 250-9528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4660 OK Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4301 OK
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4156 OK

Addresses

Primary practice location

8701 S Garnett Rd
Broken Arrow, OK 74012

Mailing address

8701 S Garnett Rd
Broken Arrow, OK 74012
Phone (918) 250-9528

National Provider Directory

National Provider Directory
Part of
Berkshire Dental Group PLC

Practitioners & affiliated clinicians

Practitioners 3

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": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1982870838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 S GARNETT RD",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-250-9528",
            "fax_number": "918-250-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 S GARNETT RD",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-250-9528",
            "fax_number": "918-250-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE DENTAL GROUP PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERKSHIRE DENTAL GROUP PLC",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-250-9528",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4660",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4301",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4156",
            "primary": false
        }
    ],
    "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 May 1, 2008; 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.