Organization Active NPI

Smile Stop Dental, LLC

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1205204468
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6042 Issued in OK
Legal business name
SMILE STOP DENTAL, LLC
Practice address
9063 E 31St St
Tulsa, OK 74145-1703
Phone
(918) 336-1262
NPI assigned
Sep 4, 2015
Last updated
Sep 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Brendon Swisher, D.D.S.NPI 1043472707
Title
Member
Phone
(918) 336-1262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6042 OK Primary

Addresses

Primary practice location

9063 E 31St St
Tulsa, OK 74145-1703

Mailing address

9063 E 31St St
Tulsa, OK 74145-1703

National Provider Directory

National Provider Directory

Locations

9063 E 31st St
Tulsa, OK 74145
Phone (918) 336-1262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1205204468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9063 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9063 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451703",
            "telephone_number": "918-336-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STOP DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "SWISHER",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-336-1262",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6042",
            "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 Sep 4, 2015; 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.