Active NPI
Johnny Burton Starkey, D.D.S.
- Pediatric Dentistry
- Broken Arrow, OK
National Provider Identifier
1497738728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 76
- Practice address
- 4404 West Houston
Broken Arrow, OK 74012 - Phone
- (918) 392-0575
- Fax
- (918) 392-0574
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2207 | NM | |
| Pediatric Dentistry | 1223P0221X | 76 | OK | Primary |
Addresses
Primary practice location
4404 West Houston
Broken Arrow, OK 74012
Mailing address
7912 S Darlington Ave
Tulsa, OK 74136-8451
Phone (918) 494-4752
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2207 | NM | MD | Pediatric Dentist |
| 76 | OK | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilstrap Services LLC | Pediatric Dentistry | Past | Accepting new patients |
| Johnny Starkey DDS, PC | Pediatric Dentistry | Past | Accepting new patients |
Interoperability endpoints
- johnny.starkey@direct.stjohnhealthsystem.com
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.
-
- Pediatric Dentistry
- Broken Arrow, OK
- NPI 1447467410
-
- Pediatric Dentistry
- Broken Arrow, OK
- NPI 1588400873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497738728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7912 S DARLINGTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741368451",
"telephone_number": "918-494-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4404 WEST HOUSTON",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "74012",
"telephone_number": "918-392-0575",
"fax_number": "918-392-0574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARKEY",
"first_name": "JOHNNY",
"middle_name": "BURTON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NM",
"license": "2207",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OK",
"license": "76",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.