Gary Thane Denslow, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

11608 Issued in OK

Practice address

4606 E 67TH St Ste 400
Tulsa, OK 74136-4950

Phone

(918) 938-6442

Fax

(918) 728-8091

NPI assigned

Aug 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: direct@pediatriceyeassociatesandftulsaok.compulinkdirect.com

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.

• Pediatric Ophthalmology, PC

  • Eyewear Supplier
  • Tulsa, OK
  • NPI 1053423947
  NPD (past) Authorized official

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1194718775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 E 67TH ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364950",
            "telephone_number": "918-949-9898",
            "fax_number": "918-728-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 E 67TH ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364950",
            "telephone_number": "918-938-6442",
            "fax_number": "918-728-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSLOW",
        "first_name": "GARY",
        "middle_name": "THANE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "OK",
            "license": "11608",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "11608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100058220A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@PediatricEyeAssociatesAndFTulsaOK.CompulinkDirect.com",
            "affiliation": "N",
            "address_1": "4606 E 67th St Ste 400",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741364950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denny E Krout DO Inc
• Andrea Sue Denny, SLP
• Devynn Denny
• Gary Raymond Denny, D.O.
• Johnathan Denny
• Kimberly Densmore, RBT
• Zalee Mae Densmore
• Julie P Denson
• Dental Arts of South Tulsa, LLC
• Dental Depot of I-44 & Garnett, PLLC

• Ophthalmology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.