Active NPI
Jessica Carragher
- Dental Assistant
- Sapulpa, OK
National Provider Identifier
1336438365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 1044 E Lincoln Ave
Sapulpa, OK 74066-4505 - Phone
- (918) 224-7000
- Fax
- (918) 224-2464
- NPI assigned
- Mar 30, 2011
- Last updated
- Mar 30, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Primary |
Addresses
Primary practice location
1044 E Lincoln Ave
Sapulpa, OK 74066-4505
Mailing address
5207 S Vandalia Ave Apt 7G
Tulsa, OK 74135-4035
Phone (918) 224-7000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1336438365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5207 S VANDALIA AVE APT 7G",
"city": "TULSA",
"state": "OK",
"postal_code": "741354035",
"telephone_number": "918-224-7000",
"fax_number": "918-224-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 E LINCOLN AVE",
"city": "SAPULPA",
"state": "OK",
"postal_code": "740664505",
"telephone_number": "918-224-7000",
"fax_number": "918-224-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRAGHER",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sapulpa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.