Active NPI
Smile Doctors of Oklahoma PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- SMILE DOCTORS OF OKLAHOMA PC
- Practice address
- 4550 S Harvard Ave
Tulsa, OK 74135-2906 - Phone
- (918) 749-8817
- NPI assigned
- Jan 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Goggans
- Title
- President
- Phone
- (918) 749-8817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
4550 S Harvard Ave
Tulsa, OK 74135-2906
Mailing address
PO Box 674459
Dallas, TX 75267-4459
Other practice location 1
333 W Blue Starr Dr
Claremore, OK 74017-5808
Phone (918) 342-1240
Other practice location 2
519 E 141st St
Glenpool, OK 74033-3588
Phone (918) 369-6100
Other practice location 3
11910 S Memorial Dr
Bixby, OK 74008-2170
Phone (918) 369-6100
National Provider Directory
National Provider DirectoryLocations
11910 S Memorial Dr
Bixby, OK 74008
Phone (918) 369-6100
333 W Blue Starr Dr
Claremore, OK 74017
Phone (918) 342-1240
519 E 141st St
Glenpool, OK 74033
Phone (918) 219-1222
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tulsa, OK
- NPI 1932317773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610496000000",
"number": "1659960649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 674459",
"city": "DALLAS",
"state": "TX",
"postal_code": "752674459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 S HARVARD AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741352906",
"telephone_number": "918-749-8817"
}
],
"practiceLocations": [
{
"address_1": "333 W Blue Starr Dr",
"address_purpose": "LOCATION",
"city": "Claremore",
"state": "OK",
"postal_code": "740175808",
"country_code": "US",
"telephone_number": "918-342-1240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "519 E 141st St",
"address_purpose": "LOCATION",
"city": "Glenpool",
"state": "OK",
"postal_code": "740333588",
"country_code": "US",
"telephone_number": "918-369-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11910 S Memorial Dr",
"address_purpose": "LOCATION",
"city": "Bixby",
"state": "OK",
"postal_code": "740082170",
"country_code": "US",
"telephone_number": "918-369-6100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SMILE DOCTORS OF OKLAHOMA PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A",
"authorized_official_last_name": "GOGGANS",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-749-8817"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"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 Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.