Individual provider Active NPI

August Metz IV, D.M.D.

  • General Practice Dentistry
  • Okmulgee, OK
National Provider Identifier
1992930523
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7817 Issued in OK
Practice address
1829 S Wood Dr
Okmulgee, OK 74447-6825
Phone
(918) 756-6500
Fax
(918) 756-6505
NPI assigned
May 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7817 OK Primary

Addresses

Primary practice location

1829 S Wood Dr
Okmulgee, OK 74447-6825

Mailing address

3323 Wiehle St
Philadelphia, PA 19129-1751
Phone (570) 604-6598

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
7817OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Dental Okmulgee PLLC General Practice PastSince Mar 24, 2024 Accepting new patients
TNT Dental Services PLLC General Practice PastSince Mar 24, 2024 Accepting new patients

Organizations & group practices 2

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1992930523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 WIEHLE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291751",
            "telephone_number": "570-604-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 S WOOD DR",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476825",
            "telephone_number": "918-756-6500",
            "fax_number": "918-756-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "AUGUST",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.