Individual provider Active NPI

Christopher Charles Vinson, D.D.S.

  • Dentist
  • Tulsa, OK
National Provider Identifier
1427212372
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6062 Issued in OK
Practice address
7104 S Sheridan Rd Ste 8
Tulsa, OK 74133-2765
Phone
(918) 492-3752
Fax
(918) 492-4538
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6062 OK Primary

Addresses

Primary practice location

7104 S Sheridan Rd Ste 8
Tulsa, OK 74133-2765

Mailing address

5119 E 81St St Ste a
Tulsa, OK 74137-2292
Phone (918) 492-1917

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
I20160324001437 OK Order and Referring Only - DentistPractitioner - Dentist 4587961131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1427212372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 E 81ST ST STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372292",
            "telephone_number": "918-492-1917",
            "fax_number": "918-492-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 S SHERIDAN RD STE 8",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332765",
            "telephone_number": "918-492-3752",
            "fax_number": "918-492-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.