Active NPI
Woodward Oral Surgery LLC
- Oral and Maxillofacial Surgery (Dentist)
- Tulsa, OK
National Provider Identifier
1023798709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- WOODWARD ORAL SURGERY LLC
- Practice address
- 4617 E 91St St
Tulsa, OK 74137-2852 - Phone
- (918) 492-6994
- NPI assigned
- Jul 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Woodward, DDS
- Title
- Manager
- Phone
- (918) 260-0012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
4617 E 91St St
Tulsa, OK 74137-2852
Mailing address
4617 E 91St St
Tulsa, OK 74137-2852
Phone (918) 492-6994
National Provider Directory
National Provider DirectoryLocations
4617 E 91st St
Tulsa, OK 74137
Phone (918) 492-6994
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Tulsa, OK
- NPI 1396197349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689724800000",
"number": "1023798709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4617 E 91ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741372852",
"telephone_number": "918-492-6994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4617 E 91ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741372852",
"telephone_number": "918-492-6994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODWARD ORAL SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A",
"authorized_official_last_name": "WOODWARD",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "918-260-0012",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"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": []
}
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 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.