NPIMap

Organization Active NPI

Tulsa City-County Health Department

Doing business as Dental Clinic

  • Dental Clinic/Center
  • Tulsa, OK
National Provider Identifier
1366539132
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TULSA CITY-COUNTY HEALTH DEPARTMENT
Doing business as
Dental Clinic
Practice address
315 S Utica Ave
Tulsa, OK 74104-2203
Phone
(918) 594-4706
Fax
(918) 594-4889
NPI assigned
Oct 5, 2006
Last updated
Jun 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Priscilla Haynes
Title
Division Chief, Community Health
Phone
(918) 594-4822

Specialties & licenses 1

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

Addresses

Primary practice location

315 S Utica Ave
Tulsa, OK 74104-2203

Mailing address

315 S Utica Ave
Tulsa, OK 74104-2203
Phone (918) 594-4706

Other identifiers 1

IdentifierTypeStateIssuer
100749470GMedicaidOK

Other names 1

  • Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tulsa City Cty Health D10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

315 S Utica Ave
Tulsa, OK 74104
Phone (918) 582-9355

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1366539132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741042203",
            "telephone_number": "918-594-4706",
            "fax_number": "918-594-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741042203",
            "telephone_number": "918-594-4706",
            "fax_number": "918-594-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA CITY-COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "DIVISION CHIEF, COMMUNITY HEALTH",
        "authorized_official_telephone_number": "918-594-4822"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100749470G",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.