RED DIRT ORTHODONTICS PLLC (NPI# 1851811293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851811293 |
| Entity Type | Organization |
| Organization Name | RED DIRT ORTHODONTICS PLLC |
| Other Organization Name | BRACES U OKLAHOMA PLLC |
| Practice Address |
5940 Nw Expressway # 100 Oklahoma City OK 73132-5101 |
| Practice Telephone | 4052270054 |
| Mailing Telephone | 4052270054 |
| Mailing Fax Number | 9702268669 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | KOLTON F ERICKSON (PRESIDENT) |
| Authorized Official Telephone | 4052270054 |
| Authorized Official Credential | DMD MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Braces U Oklahoma PLLC | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Garth Brooks Blvd Ste 150, Yukon, OK 730997412 | 4052270054 |
| Street Address |
5940 NW EXPRESSWAY # 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73132-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790348266 | Solid Rock Home Care Assistance LLC | Registered Nurse | 6408 Galaxie Dr., Oklahoma City, OK 73132 | 2019-04-19 |
| 1427525443 | Allison Latham | Counselor | 6812 St. Pl., Oklahoma City, OK 73132 | 2018-10-29 |
| 1811426182 | Larry D. Brown | Counselor | 4717 Nw 70th St., Oklahoma City, OK 73132 | 2017-06-08 |
| 1639600307 | Tram Nguyen | Physician Assistant | 500 Sw44th Street, Oklahoma City, OK 73132 | 2017-03-24 |
| 1386190973 | Moneka Jeffers | Counselor | 8117 Nw 81st St, Oklahoma City, OK 73132 | 2016-09-01 |
| 1861873085 | Express Family Care LLC | Clinic/Center | 7117 W. Wilshire Blvd, Oklahoma City, OK 73132 | 2015-06-12 |
| 1689941809 | Ade A Bajulaiye | Psychologist | 8122 N.w. 78th Ter, Okc, Oklahoma, OK 73132 | 2011-11-17 |
| 1457633281 | Chandell Bell | Counselor | 6908 Woodlake Dr, Okc, OK 73132 | 2011-09-19 |
| 1588944615 | Jason Bennell Rayfield | Social Worker | 7221 Edenborough, Oklahoma City, OK 73132 | 2011-08-20 |
| 1952600785 | Derell Jovan Spires | Counselor | 9242 North Mcarthur Blvd Apt A, Oklahoma City, OK 73132 | 2011-03-18 |
| Find all providers in zip 73132 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041275 | Fleming Dental Co Pllc | Clinic/Center | 13316 S Western Ave Ste B, Oklahoma City, OK 73170-7309 | 2020-04-08 |
| 1578103743 | Dental Surgery Center of Midwest City | Clinic/Center | 9060 Harmony Dr Ste E, Oklahoma City, OK 73130-6253 | 2020-01-15 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1558902874 | Insight Dental and Implants | Clinic/Center | 3906 Nw 10th St Ste B, Oklahoma City, OK 73107-6060 | 2019-10-08 |
| 1225683311 | I240 Dental | Clinic/Center | 1506 W I 240 Service Rd, Oklahoma City, OK 73159-4126 | 2019-08-06 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1285100339 | Moore Dentistry & Braces | Clinic/Center | 1530 Sw 119th St Unit 108, Oklahoma City, OK 73170-4938 | 2018-10-16 |
| 1295254068 | Sih Oklahoma PC | Clinic/Center | 1325 N Walker Ave 547, Oklahoma City, OK 73103-6405 | 2017-09-13 |
| 1518494384 | Uptown Smiles Pllc | Clinic/Center | 601 Nw 23rd St, Suite 200, Oklahoma City, OK 73103-1415 | 2017-05-11 |
| 1518250265 | Legacy Family Dentist, Pllc. | Clinic/Center | 8470 Nw Expressway, Oklahoma City, OK 73162-6009 | 2011-05-26 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73132 |
Please comment or provide details below to improve the information on RED DIRT ORTHODONTICS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.