Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GINA C. BOSTICK D.D.S.
NPI 1689658700
Dentist in Spencer, OK

Q: What is Gina Bostick's NPI number?

The NPI number for Gina Bostick is 1689658700. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Q: What is Gina Bostick's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Gina Bostick was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 01, 2005PECOS Enrolled

12716 NE 36TH ST, SPENCER, OK 73084(405) 769-3301(405) 769-9685 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Jul 14, 2026, Jul 8, 2026 and 3 more (6 updates tracked since 2019).

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About Gina C. Bostick D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA C. BOSTICK D.D.S. (NPI 1689658700) is an individual dentist in Spencer, Oklahoma, licensed in Oklahoma (4991) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689658700

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameGINA C. BOSTICKCredential: D.D.S.

Location Address12716 NE 36TH STSpencer, OK 73084-9167

Mailing AddressPo Box 30589Midwest City, OK 73140-3589 · (405) 769-3301 · Fax (405) 769-9685

Phone(405) 769-3301

Fax(405) 769-9685

Sole ProprietorNo

Enumeration DateDecember 1, 2005

Last NPPES UpdateJuly 21, 20266 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1689658700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OK · 4991

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 4991 (OK)

12716 NE 36TH ST, Spencer, OK 73084

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Other Identifiers 1

Medicaid100131420AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina C. Bostick D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEVON SUSSON PRAYTOR

Pharmacy Technician