Organization Active NPI

Mint Dental, PLLC

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1154623403
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5854 Issued in OK
Legal business name
MINT DENTAL, PLLC
Practice address
4329 S Peoria Ave
Ste 335
Tulsa, OK 74105-3935
Phone
(918) 346-6016
Fax
(918) 938-6220
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Jamie M Ariana, D.D.S.NPI 1023321361
Title
Owner/Operator
Phone
(918) 346-6016

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 5854 OK Primary

Addresses

Primary practice location

4329 S Peoria Ave
Ste 335
Tulsa, OK 74105-3935

Mailing address

4329 S Peoria Ave
Ste 335
Tulsa, OK 74105-3935
Phone (918) 346-6016

National Provider Directory

National Provider Directory

Locations

4329 S Peoria Ave
Ste 335
Tulsa, OK 74105
Phone (918) 346-6016

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": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1154623403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4329 S PEORIA AVE",
            "address_2": "STE 335",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053935",
            "telephone_number": "918-346-6016",
            "fax_number": "918-938-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 S PEORIA AVE",
            "address_2": "STE 335",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053935",
            "telephone_number": "918-346-6016",
            "fax_number": "918-938-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "ARIANA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "918-346-6016",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5854",
            "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 Nov 18, 2010; 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.