Organization Active NPI

Jerry S Schoeffler, D.D.S.

  • Dental Clinic/Center
  • Tulsa, OK
National Provider Identifier
1174282545
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JERRY S SCHOEFFLER, D.D.S.
Practice address
5416 S Yale Ave Ste 100
Tulsa, OK 74135-6202
Phone
(918) 492-9711
Fax
(918) 492-3889
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Jerry Schoeffler, DDSNPI 1477676682
Title
Owner
Phone
(918) 492-9711

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5416 S Yale Ave Ste 100
Tulsa, OK 74135-6202

Mailing address

5416 S Yale Ave Ste 100
Tulsa, OK 74135-6202
Phone (918) 492-9711

National Provider Directory

National Provider Directory

Locations

5416 S Yale Ave
Ste 100
Tulsa, OK 74135
Phone (918) 492-9711

Practitioners & affiliated clinicians

Practitioners 1

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": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1174282545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 S YALE AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356202",
            "telephone_number": "918-492-9711",
            "fax_number": "918-492-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 S YALE AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356202",
            "telephone_number": "918-492-9711",
            "fax_number": "918-492-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY S SCHOEFFLER, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "SCHOEFFLER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-492-9711",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Dec 14, 2021; 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.