Organization Active NPI

Wrany R. Southard, D.D.S., P.C.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1376722314
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5455 Issued in OK
Legal business name
WRANY R. SOUTHARD, D.D.S., P.C.
Practice address
6333 S Memorial Dr
Suite G
Tulsa, OK 74133-1948
Phone
(918) 294-1144
Fax
(918) 294-0884
NPI assigned
Oct 26, 2007
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Robin Southard
Title
Office Manager
Phone
(918) 294-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5455 OK Primary

Addresses

Primary practice location

6333 S Memorial Dr
Suite G
Tulsa, OK 74133-1948

Mailing address

6333 S Memorial Dr
Suite G
Tulsa, OK 74133-1948
Phone (918) 294-1144

National Provider Directory

National Provider Directory

Locations

6333 S Memorial Dr
Ste G
Tulsa, OK 74133
Phone (918) 294-1144

Practitioners & affiliated clinicians

Practitioners 2

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": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1376722314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 S MEMORIAL DR",
            "address_2": "SUITE G",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331948",
            "telephone_number": "918-294-1144",
            "fax_number": "918-294-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 S MEMORIAL DR",
            "address_2": "SUITE G",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331948",
            "telephone_number": "918-294-1144",
            "fax_number": "918-294-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRANY R. SOUTHARD, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "SOUTHARD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-294-1144"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 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.

Verify at the official NPI Registry.