Individual provider Active NPI

Meghan Christine Hodges, DMD

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1528296423
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6132 Issued in OK
Practice address
10031 S Yale Ave Ste 104
Tulsa, OK 74137-6094
Phone
(918) 528-3330
Fax
(918) 528-3332
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6132 OK Primary

Addresses

Primary practice location

10031 S Yale Ave Ste 104
Tulsa, OK 74137-6094

Mailing address

10031 S Yale Ave Ste 104
Tulsa, OK 74137-6094
Phone (918) 528-3330

Other identifiers 1

IdentifierTypeStateIssuer
200249770AMedicaidOK

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
6132OKMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1528296423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 S YALE AVE STE 104",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376094",
            "telephone_number": "918-528-3330",
            "fax_number": "918-528-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 S YALE AVE STE 104",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376094",
            "telephone_number": "918-528-3330",
            "fax_number": "918-528-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "MEGHAN",
        "middle_name": "CHRISTINE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200249770A",
            "state": "OK"
        }
    ],
    "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 25, 2018; 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.