NPIMap

Organization Active NPI

Okc Dental Health Associates, P.C.

Doing business as MyDentist-Midtown Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Tulsa, OK
National Provider Identifier
1013337518
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
OKC DENTAL HEALTH ASSOCIATES, P.C.
Doing business as
MyDentist-Midtown Oral Surgery
Practice address
1420 S Lewis Ave
Tulsa, OK 74104-4641
Phone
(918) 492-1780
NPI assigned
Apr 23, 2014
Organization subpart
Yes
Parent organization
OKC DENTAL HEALTH ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Hannah Fish
Title
Credentialing Coordinator
Phone
(217) 540-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1420 S Lewis Ave
Tulsa, OK 74104-4641

Mailing address

1420 S Lewis Ave
Tulsa, OK 74104-4641

Other names 1

  • MyDentist-Midtown Oral Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Okc Dental Health Associates PC40 organizations share this tax ID, including this one
Part of
Okc Dental Health Associates PC

Other organizations with this tax ID 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1013337518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044641",
            "telephone_number": "918-492-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKC DENTAL HEALTH ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKC DENTAL HEALTH ASSOCIATES, P.C.",
        "enumeration_date": "2014-04-23",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5699"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyDentist-Midtown Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2016; 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.