DR. SHANNON RENE MADDOX (NPI# 1992017776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992017776 |
| Entity Type | Individual |
| Full Name | DR. SHANNON RENE MADDOX |
| Credential | D.D.S. |
| Practice Address |
10914 Hefner Pointe Dr Suite 150 Oklahoma City OK 73120-5066 |
| Practice Telephone | 4059465558 |
| Mailing Telephone | 4059465558 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2012-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6212 | OK | Dental Providers |
| Street Address |
10914 HEFNER POINTE DR SUITE 150 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660898 | Kenneth A. Hieke | Surgery | 10914 Hefner Pointe Dr, Ste 200, Oklahoma City, OK 73120-5069 | 2005-06-22 |
| 1861886350 | Osu Center for Health Sciences | Clinic/Center | 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 | 2015-03-24 |
| 1831450279 | Hiley N Hall | Physical Therapist | 10914 Hefner Pointe Dr, Suite 204, Oklahoma City, OK 73120-5066 | 2012-06-01 |
| 1396019337 | Kristallena Scott Schwarz | Family Medicine | 10914 Hefner Pointe Dr, Suite 202, Oklahoma City, OK 73120-5066 | 2012-03-07 |
| 1801060413 | Kellie J Hunt | Physical Therapist | 10914 Hefner Pointe Dr, Suite 204, Oklahoma City, OK 73120-5066 | 2008-04-15 |
| 1326226234 | Us Pt Therapy Services Inc | Durable Medical Equipment & Medical Supplies | 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 | 2008-02-01 |
| 1104001916 | U.S. Pt Therapy Services Inc. | Physical Therapist | 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 | 2007-12-31 |
| 1306057211 | Valir Outpatient Clinics LLC | Durable Medical Equipment & Medical Supplies | 10914 Hefner Pointe Dr, Suite 204, Oklahoma City, OK 73120-5066 | 2007-05-24 |
| 1073679775 | Oklahoma Hand Surgery Center, Inc. | Orthopaedic Surgery | 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 | 2006-12-28 |
| 1073622825 | Randolph Deal | Speech-Language Pathologist | 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808928 | Dentists of Oklahoma City, PC | Dentist | 12200 N Macarthur Blvd Ste I, Oklahoma City, OK 73162-1849 | 2020-10-13 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1255960399 | Graden Trumble | Dentist | 1201 N Stonewall Ave Rm 452, Oklahoma City, OK 73117-1214 | 2020-04-01 |
| 1790322543 | Easy Dental South Pllc | Dentist | 10001 S Penn Ave Ste 22, Oklahoma City, OK 73159-6923 | 2019-11-27 |
| 1922643543 | Dental Boutique Pllc | Dentist | 3621 Nw 63rd St Ste C, Oklahoma City, OK 73116-2041 | 2019-11-07 |
| 1841846474 | Designs In Dentistry | Dentist | 14810 Serenita Ave, Oklahoma City, OK 73134 | 2019-08-09 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1326556242 | Steve Huy Truong, Dds, Pllc | Dentist | 16 Ne 2nd St Ste B, Oklahoma City, OK 73104-2210 | 2018-01-12 |
| 1326576497 | Noel Robert Williams Jr. | Dentist | 1325 N Walker Ave Apt 204, Oklahoma City, OK 73103-6414 | 2017-06-01 |
| 1790213486 | Ty Allen Mays Jr. | Dentist | 25 N Rockwell Ave, Oklahoma City, OK 73127-6112 | 2017-05-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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| 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.