NPIMap

Organization Active NPI

Phil Tyree DDS PC

  • Dental Clinic/Center
  • Holdenville, OK
National Provider Identifier
1326129768
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4007 Issued in OK
Legal business name
PHIL TYREE DDS PC
Practice address
201 N Hinckley St
Holdenville, OK 74848-5449
Phone
(405) 379-6695
Fax
(405) 379-6923
NPI assigned
Oct 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phil J Tyree, DDSNPI 1679654115
Title
Owner
Phone
(405) 379-6695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4007 OK Primary

Addresses

Primary practice location

201 N Hinckley St
Holdenville, OK 74848-5449

Mailing address

201 N Hinckley St
Holdenville, OK 74848-5449
Phone (405) 379-6695

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326129768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N HINCKLEY ST",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748485449",
            "telephone_number": "405-379-6695",
            "fax_number": "405-379-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N HINCKLEY ST",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748485449",
            "telephone_number": "405-379-6695",
            "fax_number": "405-379-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIL TYREE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYREE",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-379-6695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdenville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.