Organization Active NPI

Parnam Mohanna DDS, PLLC

  • Dentist
  • Tulsa, OK
National Provider Identifier
1003072927
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6032 Issued in OK
Legal business name
PARNAM MOHANNA DDS, PLLC
Practice address
5505 S Peoria Ave
Tulsa, OK 74105-6821
Phone
(918) 743-2347
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Parnam Mohanna, DDS
Title
Dentist
Phone
(918) 743-2347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6032 OK Primary

Addresses

Primary practice location

5505 S Peoria Ave
Tulsa, OK 74105-6821

Mailing address

5505 S Peoria Ave
Tulsa, OK 74105-6821
Phone (918) 743-2347

National Provider Directory

National Provider Directory
Tax ID family
Complete Cosmetic Care Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1003072927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056821",
            "telephone_number": "918-743-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056821",
            "telephone_number": "918-743-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARNAM MOHANNA DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "MOHANNA",
        "authorized_official_first_name": "PARNAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-743-2347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "6032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.