Organization Active NPI

West Tulsa Dental Center

  • Dentist
  • Tulsa, OK
National Provider Identifier
1457678039
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WEST TULSA DENTAL CENTER
Practice address
5031 S 33Rd West Ave
Tulsa, OK 74107-7409
Phone
(918) 352-3312
Fax
(918) 352-2681
NPI assigned
Apr 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Travis Dean Burkett, DDS
Title
Partner
Phone
(918) 352-3312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5031 S 33Rd West Ave
Tulsa, OK 74107-7409

Mailing address

PO Box 712
Drumright, OK 74030-0712
Phone (918) 352-3312

National Provider Directory

National Provider Directory

Locations

5031 S 33rd West Ave
Tulsa, OK 74107
Phone (918) 352-3312

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1457678039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712",
            "city": "DRUMRIGHT",
            "state": "OK",
            "postal_code": "740300712",
            "telephone_number": "918-352-3312",
            "fax_number": "918-352-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 S 33RD WEST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741077409",
            "telephone_number": "918-352-3312",
            "fax_number": "918-352-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TULSA DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "BURKETT",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "918-352-3312",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "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 Apr 22, 2010; 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.