Organization Active NPI

Heath Bryan Coleman of Oklahoma, DDS, PLLC

  • Dentist
  • Tulsa, OK
National Provider Identifier
1235366212
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3749 Issued in OK
Legal business name
HEATH BRYAN COLEMAN OF OKLAHOMA, DDS, PLLC
Practice address
10441 S Regal Blvd
Suite #235
Tulsa, OK 74133-7188
Phone
(918) 364-4100
Fax
(918) 364-4110
NPI assigned
Jun 17, 2009
Last updated
Jan 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Amanda G Henson
Title
Support Team
Phone
(918) 864-1147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3749 OK Primary

Addresses

Primary practice location

10441 S Regal Blvd
Suite #235
Tulsa, OK 74133-7188

Mailing address

10441 S Regal Blvd
Suite #235
Tulsa, OK 74133-7188
Phone (918) 364-4100

National Provider Directory

National Provider Directory

Locations

10441 S Regal Blvd
Ste 235
Tulsa, OK 74133
Phone (918) 364-4100

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1235366212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10441 S REGAL BLVD",
            "address_2": "SUITE #235",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337188",
            "telephone_number": "918-364-4100",
            "fax_number": "918-364-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 S REGAL BLVD",
            "address_2": "SUITE #235",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337188",
            "telephone_number": "918-364-4100",
            "fax_number": "918-364-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATH BRYAN COLEMAN OF OKLAHOMA, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SUPPORT TEAM",
        "authorized_official_telephone_number": "918-864-1147"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "3749",
            "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 Jan 19, 2018; 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.