Organization Active NPI

Johnson and Southard Endodontics

  • Endodontics
  • Tulsa, OK
National Provider Identifier
1649416876
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5119 Issued in OK
Legal business name
JOHNSON AND SOUTHARD ENDODONTICS
Practice address
5010 E 68TH St
Suite 104
Tulsa, OK 74136-3323
Phone
(918) 493-3880
Fax
(918) 492-8564
NPI assigned
Dec 17, 2008
Last updated
Dec 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. Laurie Lynn Southard, DDSNPI 1215054820
Title
President/Endodontist
Phone
(918) 493-3880

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 5119 OK Primary

Addresses

Primary practice location

5010 E 68TH St
Suite 104
Tulsa, OK 74136-3323

Mailing address

5010 E 68TH St
Suite 104
Tulsa, OK 74136-3323
Phone (918) 493-3880

National Provider Directory

National Provider Directory

Locations

5010 E 68th St
Ste 104
Tulsa, OK 74136
Phone (918) 493-3880

Practitioners & affiliated clinicians

Practitioners 1

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": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1649416876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 E 68TH ST",
            "address_2": "SUITE 104",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363323",
            "telephone_number": "918-493-3880",
            "fax_number": "918-492-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E 68TH ST",
            "address_2": "SUITE 104",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363323",
            "telephone_number": "918-493-3880",
            "fax_number": "918-492-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON AND SOUTHARD ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "SOUTHARD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT/ENDODONTIST",
        "authorized_official_telephone_number": "918-493-3880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OK",
            "license": "5119",
            "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 Dec 17, 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.