Theodore Tolentino, MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

13674 Issued in OK

Practice address

3300 NW Expressway
4TH Floor Nicu
Oklahoma City, OK 73112-4481

Phone

(405) 949-6051

Fax

(405) 949-6977

NPI assigned

Mar 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lakeside Women's Hospital, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1639170699
  NPD (past)

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

{
    "created_epoch": "1142121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518935865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 TAMARISK DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731425125",
            "telephone_number": "405-751-5175",
            "fax_number": "405-751-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW EXPRESSWAY",
            "address_2": "4TH FLOOR NICU",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124481",
            "telephone_number": "405-949-6051",
            "fax_number": "405-949-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OK",
            "license": "13674",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MO",
            "license": "1999134622",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NJ",
            "license": "25MA03754400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terence C Toft, D.D.S.
• Ashley Renee Tohlen, M.ED
• Faren Tohm
• Brittany Toineeta
• Brenda Denise Toland, CRNA
• Crystal Toles
• Jonathon Tolle
• Brooke Tollett
• Melody Dianne Tollison
• Keyanna Tolon

• Neonatal-Perinatal Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Neonatal-Perinatal Medicine Physician in Oklahoma

• 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.

Verify at the official NPI Registry.