Organization Active NPI

Tulsa Premier Dentistry, PLLC

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1235679440
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6565 Issued in OK
Legal business name
TULSA PREMIER DENTISTRY, PLLC
Practice address
7891 E 108TH St Ste X4
Tulsa, OK 74133-7406
Phone
(918) 364-8180
NPI assigned
Mar 7, 2017
Last updated
Mar 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Dr. Ryan Coursey, DMDNPI 1588071823
Title
DMD, Owner
Phone
(918) 364-8180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6565 OK Primary

Addresses

Primary practice location

7891 E 108TH St Ste X4
Tulsa, OK 74133-7406

Mailing address

7891 E 108TH St Ste X4
Tulsa, OK 74133-7406
Phone (918) 364-8180

National Provider Directory

National Provider Directory

Locations

7891 E 108th St
Ste X4
Tulsa, OK 74133
Phone (918) 364-8180

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": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1235679440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 E 108TH ST STE X4",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337406",
            "telephone_number": "918-364-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 E 108TH ST STE X4",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337406",
            "telephone_number": "918-364-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA PREMIER DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "COURSEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DMD, OWNER",
        "authorized_official_telephone_number": "918-364-8180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6565",
            "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 Mar 7, 2017; 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.