NPIMap

Organization Active NPI

Healthy Smiles Family Dentistry PLLP

  • Dentist
  • Tulsa, OK
National Provider Identifier
1104272913
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5123 Issued in OK
Legal business name
HEALTHY SMILES FAMILY DENTISTRY PLLP
Practice address
1326 E 43Rd CT Ste 100
Tulsa, OK 74105-4155
Phone
(918) 749-0303
Fax
(918) 749-0304
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Dr. Lori Hare, DDSNPI 1811058654
Title
Owner Partner
Phone
(918) 749-0303

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5123 OK Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1326 E 43Rd CT Ste 100
Tulsa, OK 74105-4155

Mailing address

1326 E 43Rd CT
Ste 100
Tulsa, OK 74105-4154
Phone (918) 749-0303

Other names 1

  • Healthy Sleep Tulsa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160915000999 OK DME Supplier - Oral Surgery - Dentist 0042506164 Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory
Tax ID family
Healthy Sleep Tulsa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 N Lynn Riggs Blvd
Claremore, OK 74017
Phone (918) 343-4300

1326 E 43rd Ct
Ste 100
Tulsa, OK 74105
Phone (918) 749-0303

1326 E 43rd Ct
Ste 101
Tulsa, OK 74105

Practitioners & affiliated clinicians

Practitioners 4

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": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1104272913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 E 43RD CT",
            "address_2": "STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741054154",
            "telephone_number": "918-749-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 E 43RD CT STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741054155",
            "telephone_number": "918-749-0303",
            "fax_number": "918-749-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES FAMILY DENTISTRY PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "HARE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "918-749-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5123",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Sleep Tulsa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.