NPIMap

Organization Active NPI

Fox Broermann Pediatric Dentistry of Tulsa

  • Pediatric Dentistry
  • Tulsa, OK
National Provider Identifier
1114249190
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5739 Issued in OK
Legal business name
FOX BROERMANN PEDIATRIC DENTISTRY OF TULSA
Doing business as
Smith & Fox Broermann
Practice address
6585 S Yale Ave Ste 510
Tulsa, OK 74136-8384
Phone
(918) 492-1106
Fax
(918) 492-1834
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Authorized official

Name
Dr. Sarah M Fox, DDDS,MSNPI 1750326690
Title
Dentist, Owner
Phone
(918) 492-1106

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 5739 OK Primary

Addresses

Primary practice location

6585 S Yale Ave Ste 510
Tulsa, OK 74136-8384

Mailing address

6585 S Yale Ave Ste 510
Tulsa, OK 74136-8384
Phone (918) 492-1106

Other names 2

  • Smith & Fox Broermann Doing business as
  • Sarah Fox Broermann Former legal business name

National Provider Directory

National Provider Directory

Locations

6585 S Yale Ave
Ste 510
Tulsa, OK 74136
Phone (918) 492-1106

6565 S Yale Ave
Ste 401
Tulsa, OK 74136
Phone (918) 492-1106

Practitioners & affiliated clinicians

Practitioners 3

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": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1114249190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE STE 510",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-492-1106",
            "fax_number": "918-492-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE STE 510",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-492-1106",
            "fax_number": "918-492-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX BROERMANN PEDIATRIC DENTISTRY OF TULSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "918-492-1106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "5739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith & Fox Broermann",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sarah Fox Broermann",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 20, 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.