Active NPI
Mark M. Davis, D.D.S., PC
- Dental Clinic/Center
- Tulsa, OK
National Provider Identifier
1457353278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MARK M. DAVIS, D.D.S., PC
- Practice address
- 5301 S Lewis Ave
Tulsa, OK 74105-6539 - Phone
- (918) 742-8100
- Fax
- (918) 858-1049
- NPI assigned
- Aug 11, 2005
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark M Davis, D.D.S.
- Title
- Owner
- Phone
- (918) 742-8100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | OK | Primary |
Addresses
Primary practice location
5301 S Lewis Ave
Tulsa, OK 74105-6539
Mailing address
5301 S Lewis Ave
Tulsa, OK 74105-6539
National Provider Directory
National Provider DirectoryLocations
5301 S Lewis Ave
Tulsa, OK 74105
Phone (918) 742-8100
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Tulsa, OK
- NPI 1982613824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1457353278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741056539",
"fax_number": "918-858-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741056539",
"telephone_number": "918-742-8100",
"fax_number": "918-858-1049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK M. DAVIS, D.D.S., PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-11",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-742-8100",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "OK",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.