Organization Active NPI

Robert W. Oliver II, DDS, Inc.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1609890722
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3406 Issued in OK
Legal business name
ROBERT W. OLIVER II, DDS, INC.
Practice address
25 E 21St St
Tulsa, OK 74114-1109
Phone
(918) 584-6448
Fax
(918) 582-4124
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Dr. Robert Wesley Oliver II, D.D.S.
Title
President
Phone
(918) 584-6448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3406 OK Primary

Addresses

Primary practice location

25 E 21St St
Tulsa, OK 74114-1109

Mailing address

2105 E 15TH St
Tulsa, OK 74104-4613
Phone (918) 584-6448

National Provider Directory

National Provider Directory

Locations

2105 E 15th St
Tulsa, OK 74104
Phone (918) 584-6448

25 E 21st St
Tulsa, OK 74114
Phone (918) 392-1913

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1609890722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044613",
            "telephone_number": "918-584-6448",
            "fax_number": "918-582-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141109",
            "telephone_number": "918-584-6448",
            "fax_number": "918-582-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. OLIVER II, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-584-6448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3406",
            "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 Oct 22, 2008; 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.