NPIMap

Organization Active NPI

Spring Orthodontics Tulsa

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tulsa, OK
National Provider Identifier
1467889394
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6527 Issued in OK
Legal business name
SPRING ORTHODONTICS TULSA
Practice address
6634 S Memorial Dr
Tulsa, OK 74133-2050
Phone
(918) 872-7140
Fax
(918) 872-7147
NPI assigned
Oct 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Creed Louis Cardon, DDSNPI 1053606624
Title
Owner
Phone
(918) 872-7140

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 6527 OK Primary

Addresses

Primary practice location

6634 S Memorial Dr
Tulsa, OK 74133-2050

Mailing address

6634 S Memorial Dr
Tulsa, OK 74133-2050
Phone (918) 872-7140

National Provider Directory

National Provider Directory

Locations

6634 S Memorial Dr
Tulsa, OK 74133
Phone (918) 872-7140

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1467889394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6634 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332050",
            "telephone_number": "918-872-7140",
            "fax_number": "918-872-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6634 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332050",
            "telephone_number": "918-872-7140",
            "fax_number": "918-872-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ORTHODONTICS TULSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "CARDON",
        "authorized_official_first_name": "CREED",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-872-7140",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "6527",
            "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 Oct 9, 2013; 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.