Active NPI
Joseph Brian Shoop, DDS
- Dentist
- Tulsa, OK
National Provider Identifier
1205933710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5753
- Practice address
- 3345 S Harvard Ave
Tulsa, OK 74135 - Phone
- (918) 743-8539
- Fax
- (918) 743-5270
- NPI assigned
- Sep 19, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5753 | OK | Primary |
Addresses
Primary practice location
3345 S Harvard Ave
Tulsa, OK 74135
Mailing address
3345 S Harvard Ave
Tulsa, OK 74135
Phone (918) 743-8539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 753093237002 | Other | OK | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5753 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todd a. Gentling, D.D.S., Inc., P.C. | Past | Accepting new patients | |
| Shoop Family Dentistry, LLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Broken Arrow, OK
- NPI 1245597665
-
- General Practice Dentistry
- Broken Arrow, OK
- NPI 1649284217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205933710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 S HARVARD AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "74135",
"telephone_number": "918-743-8539",
"fax_number": "918-743-5270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 S HARVARD AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "74135",
"telephone_number": "918-743-8539",
"fax_number": "918-743-5270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOOP",
"first_name": "JOSEPH",
"middle_name": "BRIAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "753093237002",
"state": "OK"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.