{"npi":"1174333744","type":"NPI-2","status":"active","name":{"display":"Elite Oral And Maxillofacial Surgery Of Oklahoma City, PLLC","other":[],"organization_name":"ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA CITY, PLLC","authorised_official":"Creed Cardon"},"specialty":{"primary_taxonomy":"1223D0001X","primary_taxonomy_description":"Public Health Dentistry","slug":"public-health-dentistry","schema_org_specialty":null,"all":[{"code":"1223D0001X","description":"Public Health Dentistry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"340 W VANDAMENT AVE","city":"YUKON","state":"OK","postal_code":"730994640","country_code":"US","phone":"9189980996"},{"purpose":"MAILING","street_1":"400 RIVERWALK TER STE 250","city":"JENKS","state":"OK","postal_code":"740375619","country_code":"US","phone":"9189980996","fax":"9182359079"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2025-01-07","last_updated":"2025-01-07","_meta":{"source":"NPPES","snapshot_date":"2025-01-07","doc_url":"https://findmynpi.com/api"}}