Organization Active NPI

Tulsa Endodontic Associates

  • Dentist
  • Tulsa, OK
National Provider Identifier
1619199239
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5812 Issued in OK
Legal business name
TULSA ENDODONTIC ASSOCIATES
Practice address
6565 S Yale Ave
Suite 712
Tulsa, OK 74136-8361
Phone
(918) 481-6622
Fax
(918) 492-0569
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amy E Stone, DDSNPI 1295945475
Title
Owner
Phone
(918) 481-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5812 OK Primary

Addresses

Primary practice location

6565 S Yale Ave
Suite 712
Tulsa, OK 74136-8361

Mailing address

6565 S Yale Ave
Suite 712
Tulsa, OK 74136-8361
Phone (918) 481-6622

National Provider Directory

National Provider Directory

Locations

6565 S Yale Ave
Ste 712
Tulsa, OK 74136
Phone (918) 481-6622

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619199239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE",
            "address_2": "SUITE 712",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368361",
            "telephone_number": "918-481-6622",
            "fax_number": "918-492-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE",
            "address_2": "SUITE 712",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368361",
            "telephone_number": "918-481-6622",
            "fax_number": "918-492-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA ENDODONTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-481-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5812",
            "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 Aug 22, 2020; 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.