Organization Active NPI

Dunn Medical Center, LLC

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1528493558
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4376 Issued in OK
Legal business name
DUNN MEDICAL CENTER, LLC
Practice address
7006 South Utica Avenue
Tulsa, OK 74136-3907
Phone
(918) 744-1001
Fax
(918) 744-9729
NPI assigned
Sep 10, 2013
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Traci L Carney, D.O.
Title
Owner
Phone
(918) 671-1542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4376 OK Primary

Addresses

Primary practice location

7006 South Utica Avenue
Tulsa, OK 74136-3907

Mailing address

PO Box 691538
Tulsa, OK 74169-1538
Phone (918) 744-7001

Other identifiers 1

IdentifierTypeStateIssuer
2000092910MedicaidOK

National Provider Directory

National Provider Directory

Locations

7006 S Utica Ave
Tulsa, OK 74136
Phone (918) 744-1001

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1528493558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691538",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741691538",
            "telephone_number": "918-744-7001",
            "fax_number": "918-744-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 SOUTH UTICA AVENUE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363907",
            "telephone_number": "918-744-1001",
            "fax_number": "918-744-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-671-1542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000092910",
            "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 Sep 10, 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.