BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU DENITSTRY
NPI 1629110119
Dentist in Oklahoma City, OK
About Board Of Regents Of The University Of Oklahoma - Ou Denitstry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU DENITSTRY (NPI 1629110119), doing business as University Dental Faculty Group, is a healthcare organization registered as a dentist in Oklahoma City, Oklahoma and active in the NPI registry since February 2007. The organization lists D. Michelle Park, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Board Of Regents Of The University Of Oklahoma - Ou Denitstry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Board Of Regents Of The University Of Oklahoma - Ou Denitstry, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
Oklahoma City, OK 73190
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Board Of Regents Of The University Of Oklahoma - Ou Denitstry's NPI number?
The NPI number for Board Of Regents Of The University Of Oklahoma - Ou Denitstry is 1629110119. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider was formerly known as University Dental Faculty Group.
Where is Board Of Regents Of The University Of Oklahoma - Ou Denitstry located?
Board Of Regents Of The University Of Oklahoma - Ou Denitstry is located at 1201 N Stonewall Room 494, Oklahoma City, OK 73117. The listed phone number is (405) 271-5714.
What is Board Of Regents Of The University Of Oklahoma - Ou Denitstry's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Board Of Regents Of The University Of Oklahoma - Ou Denitstry enrolled in Medicare?
Yes. Board Of Regents Of The University Of Oklahoma - Ou Denitstry is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Board Of Regents Of The University Of Oklahoma - Ou Denitstry?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Board Of Regents Of The University Of Oklahoma - Ou Denitstry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Oral Surgery (7) and Dentist (4). Of these, 6 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Board Of Regents Of The University Of Oklahoma - Ou Denitstry was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Board Of Regents Of The University Of Oklahoma - Ou Denitstry · NPI 1629110119
Dentist organization in Oklahoma City, Oklahoma. Organization record, active in the CMS NPPES registry since February 13, 2007.
## Identity
- **NPI:** 1629110119 (Entity type: Organization)
- **Enumerated:** February 13, 2007
- **Primary specialty:** Dentist · taxonomy 122300000X
- **Also known as:** University Dental Faculty Group (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** D. Park, DIRECTOR
## Practice location
- **Address:** 1201 N STONEWALL, ROOM 494, Oklahoma City, OK 73117-1214
- **Phone:** (405) 271-5714 · **Fax:** (405) 271-2405
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Oral Surgery (7), Dentist (4); 6 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2025
- **Other identifiers:** Medicaid 100745050A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1629110119) · Data from the CMS NPPES public registry.