Active NPI
Sih Oklahoma PC
- Dental Clinic/Center
- Oklahoma City, OK
National Provider Identifier
1295254068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SIH OKLAHOMA PC
- Practice address
- 1325 N Walker Ave 547
Oklahoma City, OK 73103-6405 - Phone
- (800) 492-4664
- Fax
- (913) 747-1001
- NPI assigned
- Sep 13, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Tull, DMD
- Title
- Owner/Principal
- Phone
- (913) 254-4065
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | OK | ||
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1325 N Walker Ave 547
Oklahoma City, OK 73103-6405
Mailing address
4400 Shawnee Mission Pkwy Ste 208
Fairway, KS 66205-2518
Phone (800) 492-4664
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1295254068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 SHAWNEE MISSION PKWY STE 208",
"city": "FAIRWAY",
"state": "KS",
"postal_code": "662052518",
"telephone_number": "800-492-4664",
"fax_number": "913-747-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 N WALKER AVE 547",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731036405",
"telephone_number": "800-492-4664",
"fax_number": "913-747-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIH OKLAHOMA PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-13",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "TULL",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER/PRINCIPAL",
"authorized_official_telephone_number": "913-254-4065",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "OK",
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.