Individual provider Active NPI

Tej D. Lad, DDS

  • Dentist
  • Bixby, OK
National Provider Identifier
1487684338
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5667 Issued in OK
Practice address
8194 E 111TH St S
Bixby, OK 74008-2421
Phone
(918) 369-6118
Fax
(918) 369-6121
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5667 OK Primary

Addresses

Primary practice location

8194 E 111TH St S
Bixby, OK 74008-2421

Mailing address

8194 E 111TH St S
Bixby, OK 74008-2421
Phone (918) 369-6118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5667OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tej D. Lad DDS Inc PC Past Accepting new patients
East 111 Family Dentistry PLLC PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1487684338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8194 E 111TH ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082421",
            "telephone_number": "918-369-6118",
            "fax_number": "918-369-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8194 E 111TH ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082421",
            "telephone_number": "918-369-6118",
            "fax_number": "918-369-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAD",
        "first_name": "TEJ",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bixby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.