Active NPI
John E Groves, DDS
- Dentist
- Tulsa, OK
National Provider Identifier
1689908121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6154
- Practice address
- 10125A South Sheridan Rd
Tulsa, OK 74134 - Phone
- (918) 299-7474
- Fax
- (918) 299-7480
- NPI assigned
- Oct 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6154 | OK | Primary |
Addresses
Primary practice location
10125A South Sheridan Rd
Tulsa, OK 74134
Mailing address
10125A South Sheridan Rd
Tulsa, OK 74134
Phone (918) 299-7474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6154 | OK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1689908121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10125A SOUTH SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "74134",
"telephone_number": "918-299-7474",
"fax_number": "918-299-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10125A SOUTH SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "74134",
"telephone_number": "918-299-7474",
"fax_number": "918-299-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVES",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-01",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6154",
"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 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.