Organization Active NPI

Sooner Dental Care PLLC

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1679902415
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
OK5632 Issued in OK
Legal business name
SOONER DENTAL CARE PLLC
Practice address
3150 E 41St St Ste 100
Tulsa, OK 74105-3756
Phone
(918) 742-1480
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Kenneth Garner, D.D.S
Title
Owner/President
Phone
(918) 346-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X OK5632 OK Primary

Addresses

Primary practice location

3150 E 41St St Ste 100
Tulsa, OK 74105-3756

Mailing address

3150 E 41St St Ste 100
Tulsa, OK 74105-3756

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1679902415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 E 41ST ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E 41ST ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053756",
            "telephone_number": "918-742-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOONER DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "918-346-6222",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "OK5632",
            "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 Nov 2, 2013; 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.