NPIMap

Organization Active NPI

LPFD PLLC

  • Dentist
  • Tulsa, OK
National Provider Identifier
1619563525
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LPFD PLLC
Practice address
5319 S Lewis Ave Ste 222
Tulsa, OK 74105-6543
Phone
(918) 742-1987
Fax
(918) 744-0761
NPI assigned
Dec 15, 2020
Last updated
Dec 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Dr. Justin Michael Young, DDSNPI 1457709438
Title
Owner
Phone
(918) 742-1987

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

5319 S Lewis Ave Ste 222
Tulsa, OK 74105-6543

Mailing address

5319 S Lewis Ave Ste 222
Tulsa, OK 74105-6543
Phone (918) 742-1987

Other identifiers 1

IdentifierTypeStateIssuer
1457709438OtherOKNPI NUMBERS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1619563525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 S LEWIS AVE STE 222",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056543",
            "telephone_number": "918-742-1987",
            "fax_number": "918-744-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 S LEWIS AVE STE 222",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056543",
            "telephone_number": "918-742-1987",
            "fax_number": "918-744-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPFD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-742-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBERS",
            "identifier": "1457709438",
            "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 Dec 15, 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.