Active NPI
Demetrius Terry Jr.
- Case Manager/Care Coordinator
- Tulsa, OK
National Provider Identifier
1285574863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- Z309380073
- Practice address
- 4106 S 130TH East PL
Tulsa, OK 74134 - Phone
- (918) 230-9789
- NPI assigned
- Mar 31, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Z309380073 | OK | Primary |
Addresses
Primary practice location
4106 S 130TH East PL
Tulsa, OK 74134
Mailing address
4106 S 130TH East PL
Tulsa, OK 74134-1134
Phone (918) 230-9789
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 |
|---|---|---|---|
| Z309380073 | OK | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1285574863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4106 S 130TH EAST PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741341134",
"telephone_number": "918-230-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4106 S 130TH EAST PL",
"city": "TULSA",
"state": "OK",
"postal_code": "74134",
"telephone_number": "918-230-9789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "DEMETRIUS",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-31",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OK",
"license": "Z309380073",
"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 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.