Organization Active NPI

Sih Oklahoma PC

  • Dental Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1295254068
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.