Michael Kubelka, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

15518 Issued in TX

Practice address

4606 E 67TH St Ste 201
Tulsa, OK 74136-4950

Phone

(918) 494-4144

Fax

(918) 494-4188

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1013066927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 E 67TH ST STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364950",
            "telephone_number": "918-494-4144",
            "fax_number": "918-494-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 E 67TH ST STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364950",
            "telephone_number": "918-494-4144",
            "fax_number": "918-494-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBELKA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "15518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Nicole Kruse
• Donna J Krutka, M.D.
• KRW Holdings, LLC
• KS Billco LLC
• Carly Ann Dykstra Kubat, M.D.
• Stacey Amber Kubovec, M.D.
• Ella Kuchmiy, DO
• Abhigna Reddy Kudumula, MD
• Pang Leilani Kue, FNP-C
• Cadence Jaye Kueker

• Endodontics in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Endodontics in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.