CMS-1500 Box 24J / 33a • NPI
1477044410
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
122300000X (CMS C5)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
1808 W BROADWAY AVE, SULPHUR, OK, 73086-4246
✓ 9-Digit EDI 837 ZIP+4 (73086-4246)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1477044410 (MICHAEL AHLBORN, DDS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1477044410)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acetaminophen-Codeine Acetaminophen With Codeine | 14 | 12 |
| Amoxicillin Amoxicillin | 48 | 42 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 15 | 14 |
| Azithromycin Azithromycin | 16 | 12 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 18 | 17 |
| Methylprednisolone Methylprednisolone | 40 | 34 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1477044410 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MICHAEL AHLBORN, DDS |
| Plain-English Specialty | Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: 122300000X (Dentist) |
| Certifying / Licensing Body | American Dental Association (ADA) / State Board of Dental Examiners |
| Practice Location Address | 1808 W BROADWAY AVE, SULPHUR, OK, 73086-4246 |
| Practice Telephone / Fax | Tel: (801) 636-8716 |
| Administrative Mailing Address | 4802 LAKE SHORE DR, ARDMORE, OK, 73401-6440 |
| Enumeration & Last Sync | Enumerated: 2018-05-25 | CMS Record Updated: 2019-04-19 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (122300000X)
What Does Taxonomy Code 122300000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 122300000X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MICHAEL AHLBORN, DDS)
Typical CPT / Diagnostic Procedures:- Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
- Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
- Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
- Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
122300000X — DentistPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: OK | License: 7028 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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