Individual provider Active NPI

Carrie D Sessom, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tulsa, OK
National Provider Identifier
1063537975
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5239 Issued in OK
Practice address
7104 S Sheridan Rd Ste 8
Tulsa, OK 74133-2765
Phone
(918) 392-7654
Fax
(918) 518-5760
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 5239 OK
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5239 OK Primary

Addresses

Primary practice location

7104 S Sheridan Rd Ste 8
Tulsa, OK 74133-2765

Mailing address

7104 S Sheridan Rd Ste 8
Tulsa, OK 74133-2765
Phone (918) 392-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524002477 OK Practitioner - Oral SurgeryPractitioner - Dentist 0749466472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist
Education
Baylor College of Dentistry/Texas a&M University, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7104 S Sheridan Rd
Suite 8
Tulsa, OK 74133-2765
Phone 91839276542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Apnea Care PLLC General Practice CurrentSince Apr 7, 2024 Accepting new patients
Carrie DS Family Dentistry Inc Customized Equipment PastSince Mar 1, 2011 Accepting new patients

Locations

7104 S Sheridan Rd
Ste 8
Tulsa, OK 74133
Phone (918) 392-7654

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1063537975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 S SHERIDAN RD STE 8",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332765",
            "telephone_number": "918-392-7654",
            "fax_number": "918-518-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 S SHERIDAN RD STE 8",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332765",
            "telephone_number": "918-392-7654",
            "fax_number": "918-518-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESSOM",
        "first_name": "CARRIE",
        "middle_name": "D",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OK",
            "license": "5239",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "5239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.