Laketa Smith Halpine, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5289 Issued in OK

Practice address

7010 S. Utica Ave.
Tulsa, OK 74136-3904

Phone

(918) 764-9220

Fax

(918) 764-9214

NPI assigned

Sep 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laketa Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gentle Care Medical Clinic

  • Primary Care Clinic/Center
  • Tulsa, OK
  • NPI 1407552516
  NPD Authorized official
• Age Erase Medical Aesthetics

  • Nurse Practitioner
  • Tulsa, OK
  • NPI 1386505709
  NPD (past)

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1295016343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 S. UTICA AVE.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363904",
            "telephone_number": "918-764-9220",
            "fax_number": "918-764-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 S. UTICA AVE.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363904",
            "telephone_number": "918-764-9220",
            "fax_number": "918-764-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH HALPINE",
        "first_name": "LAKETA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "5289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200401150B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKETA",
            "last_name": "SMITH",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Smile Stop Dental of Soutwest Tulsa
• Smile Stop Dental, LLC
• Smiles Family Dental, PLLC
• Jeromy Smiley
• Smith General Dentistry, Inc.
• Deraisha D Smith Harris
• Amanda Marie Smith-McCready
• Jerrica Delny Smith-McCullough
• Wynter Smith-McElhannon
• Ryan J Smith-Rybacki

• General Practice Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.