Tanner Nielsen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7887 Issued in OK

Practice address

1408 N Sioux Ave
Claremore, OK 74017-3126

Phone

(918) 921-9583

NPI assigned

May 25, 2023

Last updated

May 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1427740562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N SIOUX AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173126",
            "telephone_number": "918-921-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N SIOUX AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173126",
            "telephone_number": "918-921-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "TANNER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Nguyen, LMSW
• Hannah Nichols, D.D. S.
• Jerry Ray Nichols
• Kasey Nichols, MS CCC
• Jade Alexis Nielsen
• Jamison Timothy Niewoehner, PHARMD
• Lenard Scott Niezen
• Madison L Nightengale, DPT
• April Noble
• Seth David Nodine, MD

• General Practice Dentistry in Claremore, OK
• Providers in Claremore, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.