NPIMap

Organization Active NPI

Bryan D Archer, DDS, Inc.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1245406446
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4804 Issued in OK
Legal business name
BRYAN D ARCHER, DDS, INC.
Practice address
4606 E 67TH St
BLDG 7, Ste 312
Tulsa, OK 74136-4943
Phone
(918) 494-4445
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Bryan D Archer, DDS
Title
President
Phone
(918) 494-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4804 OK Primary

Addresses

Primary practice location

4606 E 67TH St
BLDG 7, Ste 312
Tulsa, OK 74136-4943

Mailing address

4606 E 67TH St
BLDG 7, Ste 312
Tulsa, OK 74136-4943
Phone (918) 494-4445

National Provider Directory

National Provider Directory

Locations

4606 E 67th St
Ste 312
Tulsa, OK 74136
Phone (918) 494-4445

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1245406446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 E 67TH ST",
            "address_2": "BLDG 7, STE 312",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364943",
            "telephone_number": "918-494-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 E 67TH ST",
            "address_2": "BLDG 7, STE 312",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364943",
            "telephone_number": "918-494-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN D ARCHER, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-494-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4804",
            "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 May 7, 2008; 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.