Individual provider Active NPI

Rachel L Standlee, D.D.S.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1255569802
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6117 Issued in OK
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

Updated by the provider on Jun 22, 2009

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511001992 OK Order and Referring Only - DentistPractitioner - Dentist 7517256746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6117OKMDProfessional 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

Verify at the official NPI Registry.