Individual provider Active NPI

Dana Kelly Worth, AUDIOLOGIST

  • Audiologist
  • Tulsa, OK
National Provider Identifier
1649865908
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5463 Issued in OK
Practice address
4564 S Harvard Ave Ste a
Tulsa, OK 74135-2918
Phone
(918) 743-9052
Fax
(918) 749-9770
NPI assigned
Mar 8, 2021
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5463 OK Primary

Addresses

Primary practice location

4564 S Harvard Ave Ste a
Tulsa, OK 74135-2918

Mailing address

4564 S Harvard Ave
Ste a
Tulsa, OK 74135-2918
Phone (918) 743-9052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325000213 OK Practitioner - Qualified Audiologist 2466869177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology of Tulsa, PLLCGroup PAC ID 3375616980, 3 clinicians

Practice addresses (Care Compare)

4564 S Harvard Ave
Suite a
Tulsa, OK 74135-2918
Phone (918) 745-9052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology of Tulsa, PLLC Audiologist CurrentSince Jan 13, 2021 Accepting new patients
Audiology of Tulsa Inc Audiologist PastSince Jan 13, 2021 Accepting new patients

Locations

4564 S Harvard Ave
Ste A
Tulsa, OK 74135
Phone (918) 745-9052

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1649865908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4564 S HARVARD AVE",
            "address_2": "STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352918",
            "telephone_number": "918-743-9052",
            "fax_number": "918-749-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4564 S HARVARD AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352918",
            "telephone_number": "918-743-9052",
            "fax_number": "918-749-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTH",
        "first_name": "DANA",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "5463",
            "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 Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.