Individual provider Active NPI

Steven Vance White, DDS

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1164511275
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS3875 Issued in OK
Practice address
7912 E 31St CT
Suite 120
Tulsa, OK 74145-1346
Phone
(918) 663-5538
Fax
(918) 627-9985
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS3875 OK Primary

Addresses

Primary practice location

7912 E 31St CT
Suite 120
Tulsa, OK 74145-1346

Mailing address

7912 E 31St Cte
Suite 120
Tulsa, OK 74145-1346
Phone (918) 663-5538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150603002109 OK Order and Referring Only - DentistPractitioner - Dentist 4789905654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3875OKMDClinical Social Worker
DS3875OKMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164511275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 E 31ST CTE",
            "address_2": "SUITE 120",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451346",
            "telephone_number": "918-663-5538",
            "fax_number": "918-627-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 E 31ST CT",
            "address_2": "SUITE 120",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451346",
            "telephone_number": "918-663-5538",
            "fax_number": "918-627-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STEVEN",
        "middle_name": "VANCE",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "DS3875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.