Active NPI
Dunn Medical Center, LLC
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1528493558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4376
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000092910 | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
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.