JOAN MAZA ATTRIDGE DDS
NPI 1902034382
Dentist - Pediatric Dentistry in Pawnee, OK

Q: What is Joan Attridge's NPI number?

The NPI number for Joan Attridge is 1902034382. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Q: What is Joan Attridge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Joan Attridge was last updated on April 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 24, 2009PECOS Enrolled

1201 HERITAGE CIR, PAWNEE, OK 74058(918) 762-6561(187) 623-5439 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2019, Jun 21, 2018, Nov 8, 2016 and 1 more (4 updates tracked since 2016).

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About Joan Maza Attridge Dds NPPES

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

JOAN MAZA ATTRIDGE DDS (NPI 1902034382) is an individual pediatric dentistry provider in Pawnee, Oklahoma, licensed in Oklahoma (140) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902034382

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameJOAN MAZA ATTRIDGECredential: DDS

Location Address1201 HERITAGE CIRPawnee, OK 74058-3744

Mailing Address425 7th St NwCass Lake, MN 56633-3360 · (218) 355-3230 · Fax (218) 335-3368

Phone(918) 762-6561

Fax(187) 623-5439

Sole ProprietorNo

Enumeration DateJune 24, 2009

Last NPPES UpdateApril 19, 20234 updates tracked since enumeration

NPPES CertifiedApril 19, 2023

✔ NPI 1902034382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in OK · 140✔ Licensed in MN · S141

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 2901020044 (MI)

1201 HERITAGE CIR, Pawnee, OK 74058

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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)

Joan Maza Attridge Dds 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 74058 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.

MS. BRENNA LEE JONES RN

Registered Nurse (Community Health)