Individual provider Active NPI

Angie Kay Nauman, DDS

  • Dentist
  • Tulsa, OK
National Provider Identifier
1356402192
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5750 Issued in OK
Practice address
9840 E 81St St Ste 101
Tulsa, OK 74133-4585
Phone
(918) 254-8686
Fax
(918) 254-8647
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5750 OK Primary

Addresses

Primary practice location

9840 E 81St St Ste 101
Tulsa, OK 74133-4585

Mailing address

9840 E 81St St Ste 101
Tulsa, OK 74133-4585
Phone (918) 254-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627000830 OK Order and Referring Only - DentistPractitioner - Dentist 5294970133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5750OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Angie Nauman PLLC CurrentSince May 16, 2022 Accepting new patients
Dental Professionals of Oklahoma, PC PastSince Apr 6, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1356402192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 E 81ST ST STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334585",
            "telephone_number": "918-254-8686",
            "fax_number": "918-254-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 E 81ST ST STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334585",
            "telephone_number": "918-254-8686",
            "fax_number": "918-254-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMAN",
        "first_name": "ANGIE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.