NPIMap

Organization Active NPI

Lusk & Riddel Family Dentistry PLLC

  • Dental Clinic/Center
  • Tulsa, OK
National Provider Identifier
1386339000
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LUSK & RIDDEL FAMILY DENTISTRY PLLC
Practice address
9815 E 51St St
Tulsa, OK 74146-5704
Phone
(918) 664-9995
NPI assigned
Apr 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Dr. Stephen Ross Riddel, DDSNPI 1811344534
Title
Dentist/ Co-Owner
Phone
(918) 329-9682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9815 E 51St St
Tulsa, OK 74146-5704

Mailing address

9815 E 51St St
Tulsa, OK 74146-5704
Phone (918) 664-9995

National Provider Directory

National Provider Directory

Locations

9815 E 51st St
Tulsa, OK 74146
Phone (918) 664-9995

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1386339000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465704",
            "telephone_number": "918-664-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465704",
            "telephone_number": "918-664-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSK & RIDDEL FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "RIDDEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "DENTIST/ CO-OWNER",
        "authorized_official_telephone_number": "918-329-9682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Apr 7, 2023; 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.