Individual provider Active NPI

Van L. Nowlin, D.D.S.,M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tulsa, OK
National Provider Identifier
1396752663
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3601 Issued in OK
Practice address
5010 East 68TH St.
Ste 200
Tulsa, OK 74136-3305
Phone
(918) 492-6464
Fax
(918) 492-3881
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3601 OK Primary

Addresses

Primary practice location

5010 East 68TH St.
Ste 200
Tulsa, OK 74136-3305

Mailing address

5010 East 68TH St.
Ste 200
Tulsa, OK 74136-3305
Phone (918) 492-6464

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396752663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 EAST 68TH ST.",
            "address_2": "STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363305",
            "telephone_number": "918-492-6464",
            "fax_number": "918-492-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 EAST 68TH ST.",
            "address_2": "STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363305",
            "telephone_number": "918-492-6464",
            "fax_number": "918-492-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWLIN",
        "first_name": "VAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "3601",
            "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 Jul 8, 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.