Active NPI
Peter Kalu, DDS, MSPH
- Dentist
- Jenks, OK
National Provider Identifier
1275324022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8103
- Practice address
- 725 W Main St
Jenks, OK 74037-3518 - Phone
- (202) 903-4174
- NPI assigned
- May 13, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 8103 | OK | Primary |
Addresses
Primary practice location
725 W Main St
Jenks, OK 74037-3518
Mailing address
11421 S James Ave Apt 825
Jenks, OK 74037-1740
Phone (202) 903-4174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8103 | OK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1275324022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11421 S JAMES AVE APT 825",
"city": "JENKS",
"state": "OK",
"postal_code": "740371740",
"telephone_number": "202-903-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 W MAIN ST",
"city": "JENKS",
"state": "OK",
"postal_code": "740373518",
"telephone_number": "202-903-4174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALU",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "DDS, MSPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-13",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "8103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.