Organization Active NPI

Midtown Dentistry,Inc

  • Dentist
  • Tulsa, OK
National Provider Identifier
1679748354
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MIDTOWN DENTISTRY,INC
Practice address
3345 S Harvard Ave
Suite 102
Tulsa, OK 74135-1812
Phone
(918) 743-8539
Fax
(918) 743-5270
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Fred Kapple
Title
President
Phone
(918) 743-8539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3345 S Harvard Ave
Suite 102
Tulsa, OK 74135-1812

Mailing address

3345 S Harvard Ave
Suite 102
Tulsa, OK 74135-1812
Phone (918) 743-8539

National Provider Directory

National Provider Directory

Locations

3345 S Harvard Ave
Ste 102
Tulsa, OK 74135
Phone (918) 742-7767

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1679748354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 S HARVARD AVE",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351812",
            "telephone_number": "918-743-8539",
            "fax_number": "918-743-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S HARVARD AVE",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351812",
            "telephone_number": "918-743-8539",
            "fax_number": "918-743-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN DENTISTRY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KAPPLE",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-743-8539"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "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 Jun 16, 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.