NPIMap

Organization Active NPI

Ranch Acres Family Dentistry PC

  • Dentist
  • Tulsa, OK
National Provider Identifier
1174754238
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5089 Issued in OK
Legal business name
RANCH ACRES FAMILY DENTISTRY PC
Practice address
3247 S Harvard Ave
Tulsa, OK 74135-4447
Phone
(918) 747-1133
Fax
(918) 712-2520
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Dr. Gary J Wood, D.M.D.NPI 1538205042
Title
Dentist
Phone
(918) 747-1133

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5089 OK Primary

Addresses

Primary practice location

3247 S Harvard Ave
Tulsa, OK 74135-4447

Mailing address

3247 S Harvard Ave
Tulsa, OK 74135-4447
Phone (918) 747-1133

National Provider Directory

National Provider Directory

Locations

3247 S Harvard Ave
Tulsa, OK 74135
Phone (918) 747-1133

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": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1174754238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354447",
            "telephone_number": "918-747-1133",
            "fax_number": "918-712-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354447",
            "telephone_number": "918-747-1133",
            "fax_number": "918-712-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCH ACRES FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-747-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5089",
            "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 Aug 6, 2009; 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.