Organization Active NPI

Mark M. Davis, D.D.S., PC

  • Dental Clinic/Center
  • Tulsa, OK
National Provider Identifier
1457353278
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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.NPI 1982613824
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.