Individual provider Active NPI

Ted L Marshall, D.M.D.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1669412391
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3855 Issued in OK
Practice address
8830 S Yale Ave
Tulsa, OK 74137-3551
Phone
(918) 492-6200
Fax
(918) 481-5265
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3855 OK Primary

Addresses

Primary practice location

8830 S Yale Ave
Tulsa, OK 74137-3551

Mailing address

8830 S Yale Ave
Tulsa, OK 74137-3551
Phone (918) 492-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810002552 OK Order and Referring Only - DentistPractitioner - Dentist 3678867843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3855OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ted L Marshall DMD Inc General Practice Past Accepting new patients
Molly Marshall Hays, DDS, PLLC General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669412391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373551",
            "telephone_number": "918-492-6200",
            "fax_number": "918-481-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373551",
            "telephone_number": "918-492-6200",
            "fax_number": "918-481-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "TED",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.