NPIMap

Organization Active NPI

Jenni Burkitt D.D.S. PLLC

  • Dentist
  • Tulsa, OK
National Provider Identifier
1063780732
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5368 Issued in OK
Legal business name
JENNI BURKITT D.D.S. PLLC
Practice address
9729 E 79TH St
Tulsa, OK 74133-4566
Phone
(918) 250-5030
Fax
(918) 254-8977
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jenni Burkitt, DDS
Title
Dentist
Phone
(918) 250-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5368 OK Primary

Addresses

Primary practice location

9729 E 79TH St
Tulsa, OK 74133-4566

Mailing address

9729 E 79TH St
Tulsa, OK 74133-4566
Phone (918) 250-5030

Other identifiers 1

IdentifierTypeStateIssuer
200116720AMedicaidOK

National Provider Directory

National Provider Directory

Locations

9729 E 79th St
Tulsa, OK 74133
Phone (918) 250-5030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063780732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9729 E 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334566",
            "telephone_number": "918-250-5030",
            "fax_number": "918-254-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9729 E 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334566",
            "telephone_number": "918-250-5030",
            "fax_number": "918-254-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNI BURKITT D.D.S. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURKITT",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-250-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200116720A",
            "state": "OK"
        }
    ],
    "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 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.