Active NPI
Ryan Coursey, DMD
- Dentist
- Tulsa, OK
National Provider Identifier
1588071823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6565
- Practice address
- 7891 E 108TH St
Suite X-4
Tulsa, OK 74133-7405 - Phone
- (918) 849-7548
- NPI assigned
- Jul 18, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6565 | OK | Primary |
Addresses
Primary practice location
7891 E 108TH St
Suite X-4
Tulsa, OK 74133-7405
Mailing address
7891 E 108TH St
Suite X-4
Tulsa, OK 74133-7405
Phone (918) 849-7548
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 |
|---|---|---|---|
| 6565 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Premier Dentistry, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Tulsa, OK
- NPI 1235679440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1588071823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7891 E 108TH ST",
"address_2": "SUITE X-4",
"city": "TULSA",
"state": "OK",
"postal_code": "741337405",
"telephone_number": "918-849-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7891 E 108TH ST",
"address_2": "SUITE X-4",
"city": "TULSA",
"state": "OK",
"postal_code": "741337405",
"telephone_number": "918-849-7548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURSEY",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-18",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6565",
"primary": true
}
],
"identifiers": [],
"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 Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.