Organization Active NPI

Van L. Nowlin D.D.S.,M.S.D.,Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tulsa, OK
National Provider Identifier
1083832133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3601, SPECIALTY- 74 Issued in OK
Legal business name
VAN L. NOWLIN D.D.S.,M.S.D.,INC.
Practice address
5010 E 68TH St
Suite 200
Tulsa, OK 74136-3323
Phone
(918) 492-6464
Fax
(918) 492-3881
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Van L. Nowlin, D.D.S.,M.S.D.
Title
Orthodontist
Phone
(918) 492-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3601, SPECIALTY- 74 OK Primary

Addresses

Primary practice location

5010 E 68TH St
Suite 200
Tulsa, OK 74136-3323

Mailing address

5010 E 68TH St
Suite 200
Tulsa, OK 74136-3323
Phone (918) 492-6464

National Provider Directory

National Provider Directory

Locations

5010 E 68th St
Ste 200
Tulsa, OK 74136
Phone (918) 960-2827

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083832133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 E 68TH ST",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363323",
            "telephone_number": "918-492-6464",
            "fax_number": "918-492-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E 68TH ST",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363323",
            "telephone_number": "918-492-6464",
            "fax_number": "918-492-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN L. NOWLIN D.D.S.,M.S.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWLIN",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "918-492-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "3601, SPECIALTY- 74",
            "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 Aug 22, 2020; 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.