Active NPI
Rachel L Standlee, D.D.S.
- General Practice Dentistry
- Tulsa, OK
National Provider Identifier
1255569802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6117
- Practice address
- 6911 S 66TH East Ave Ste 300
Tulsa, OK 74133-1748 - Phone
- (918) 493-1886
- Fax
- (918) 493-1991
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6117 | OK | Primary |
Addresses
Primary practice location
6911 S 66TH East Ave Ste 300
Tulsa, OK 74133-1748
Mailing address
6911 S 66TH East Ave Ste 300
Tulsa, OK 74133-1748
Phone (918) 493-1886
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160511001992 | OK | Order and Referring Only - Dentist | 7517256746 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6117 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1255569802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6911 S 66TH EAST AVE STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741331748",
"telephone_number": "918-493-1886",
"fax_number": "918-493-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6911 S 66TH EAST AVE STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741331748",
"telephone_number": "918-493-1886",
"fax_number": "918-493-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDLEE",
"first_name": "RACHEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6117",
"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 Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.