Organization Active NPI

Tulsa Galleria of Smiles LLC

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1114094372
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4971 Issued in OK
Legal business name
TULSA GALLERIA OF SMILES LLC
Practice address
7320 S Yale Ave
Suite a
Tulsa, OK 74136-7092
Phone
(918) 496-8010
Fax
(918) 496-9536
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Dr. Mehrdad Emami, DDSNPI 1073780821
Title
President
Phone
(918) 496-8010

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4971 OK Primary

Addresses

Primary practice location

7320 S Yale Ave
Suite a
Tulsa, OK 74136-7092

Mailing address

7320 S Yale Ave
Suite a
Tulsa, OK 74136-7092
Phone (918) 496-8010

National Provider Directory

National Provider Directory

Locations

7320 S Yale Ave
Ste A
Tulsa, OK 74136
Phone (918) 496-8010

Practitioners & affiliated clinicians

Practitioners 2

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1114094372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 S YALE AVE",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367092",
            "telephone_number": "918-496-8010",
            "fax_number": "918-496-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 S YALE AVE",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367092",
            "telephone_number": "918-496-8010",
            "fax_number": "918-496-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA GALLERIA OF SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "EMAMI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-496-8010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4971",
            "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 Oct 14, 2008; 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.