Active NPI
Justin Masseeh Emami, D.D.S.
- General Practice Dentistry
- Tulsa, OK
National Provider Identifier
1174885818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6387
- Practice address
- 7320 S Yale Ave
Suite a
Tulsa, OK 74136-7034 - Phone
- (918) 496-8010
- Fax
- (918) 496-9536
- NPI assigned
- Jun 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6387 | OK | Primary |
Addresses
Primary practice location
7320 S Yale Ave
Suite a
Tulsa, OK 74136-7034
Mailing address
7320 S Yale Ave
Suite a
Tulsa, OK 74136-7034
Phone (918) 496-8010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6387 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Galleria of Smiles LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Tulsa, OK
- NPI 1114094372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1174885818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 S YALE AVE",
"address_2": "SUITE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741367034",
"telephone_number": "918-496-8010",
"fax_number": "918-496-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 S YALE AVE",
"address_2": "SUITE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741367034",
"telephone_number": "918-496-8010",
"fax_number": "918-496-9536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMAMI",
"first_name": "JUSTIN",
"middle_name": "MASSEEH",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6387",
"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 Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.