Organization Active NPI

Family Dental Care of Tulsa

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1174780696
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4527 Issued in OK
Legal business name
FAMILY DENTAL CARE OF TULSA
Practice address
5510 S Memorial Dr Ste D
Tulsa, OK 74145-9011
Phone
(918) 627-6364
Fax
(918) 665-0167
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mrs. Karen Pate, DMD
Title
Doctor
Phone
(918) 627-6364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4527 OK Primary

Addresses

Primary practice location

5510 S Memorial Dr Ste D
Tulsa, OK 74145-9011

Mailing address

5510 S Memorial Dr Ste D
Tulsa, OK 74145-9011
Phone (918) 627-6364

National Provider Directory

National Provider Directory

Locations

5510 S Memorial Dr
Ste D
Tulsa, OK 74145
Phone (918) 627-6364

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1174780696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 S MEMORIAL DR STE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459011",
            "telephone_number": "918-627-6364",
            "fax_number": "918-665-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 S MEMORIAL DR STE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459011",
            "telephone_number": "918-627-6364",
            "fax_number": "918-665-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CARE OF TULSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "918-627-6364",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4527",
            "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 May 21, 2008; 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.