Individual provider Active NPI

Dack Eugene Zerger, APRN

  • Clinical Nurse Specialist
  • Tulsa, OK
National Provider Identifier
1609722016
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
203805 Issued in OK
Practice address
10202 S Quebec Ave
Tulsa, OK 74137-5905
Phone
(918) 978-0278
NPI assigned
Mar 9, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 203805 OK Primary

Addresses

Primary practice location

10202 S Quebec Ave
Tulsa, OK 74137-5905

Mailing address

10202 S Quebec Ave
Tulsa, OK 74137-5905
Phone (918) 978-0278

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
203805OKMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1609722016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 S QUEBEC AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375905",
            "telephone_number": "918-978-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 S QUEBEC AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375905",
            "telephone_number": "918-978-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERGER",
        "first_name": "DACK",
        "middle_name": "EUGENE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OK",
            "license": "203805",
            "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 Sep 9, 2026; 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.