Individual provider Active NPI

G Chris Bussman, DDS

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1215942602
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4647 Issued in OK
Practice address
6716 E Pine
Tulsa, OK 74115
Phone
(918) 836-6884
Fax
(918) 838-7275
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4647 OK Primary

Addresses

Primary practice location

6716 E Pine
Tulsa, OK 74115

Mailing address

6716 E Pine
Tulsa, OK 74115
Phone (918) 836-6884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150507001015 OK Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092034322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4647OKMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1215942602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 E PINE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74115",
            "telephone_number": "918-836-6884",
            "fax_number": "918-838-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 E PINE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74115",
            "telephone_number": "918-836-6884",
            "fax_number": "918-838-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSMAN",
        "first_name": "G",
        "middle_name": "CHRIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.