Active NPI
Dennis Richard Bird, DPH
- Pharmacist
- Tahlequah, OK
National Provider Identifier
1306922620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8306
- Practice address
- 2028 Mahaney Ave
Tahlequah, OK 74464-5783 - Phone
- (918) 431-0555
- Fax
- (918) 431-0316
- NPI assigned
- Oct 29, 2006
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8306 | OK | Primary |
Addresses
Primary practice location
2028 Mahaney Ave
Tahlequah, OK 74464-5783
Mailing address
PO Box 1246
Tahlequah, OK 74465-1246
Phone (918) 456-8534
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 |
|---|---|---|---|
| 8306 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306922620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1246",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744651246",
"telephone_number": "918-456-8534",
"fax_number": "918-456-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 MAHANEY AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744645783",
"telephone_number": "918-431-0555",
"fax_number": "918-431-0316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "DENNIS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.