NPIMap

Organization Active NPI

Skyview Family Dental

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1013458744
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6464 Issued in OK
Legal business name
SKYVIEW FAMILY DENTAL
Practice address
5314 S Yale Ave
Tulsa, OK 74135-6256
Phone
(918) 492-3003
NPI assigned
Mar 14, 2017
Organization subpart
Yes
Parent organization
NEW HORIZONS DENTAL PRACTICE MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Tyson Lebedoff, DDS
Title
Dentist
Phone
(918) 492-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6464 OK Primary

Addresses

Primary practice location

5314 S Yale Ave
Tulsa, OK 74135-6256

Mailing address

5314 S Yale Ave
Tulsa, OK 74135-6256
Phone (918) 492-3003

Other names 1

  • New Horizons Practice Management Other name

National Provider Directory

National Provider Directory

Locations

5314 S Yale Ave
Tulsa, OK 74135
Phone (918) 492-3003

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1013458744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356256",
            "telephone_number": "918-492-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356256",
            "telephone_number": "918-492-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYVIEW FAMILY DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW HORIZONS DENTAL PRACTICE MANAGEMENT",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "LEBEDOFF",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-492-3003",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Practice Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 14, 2017; 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.