NPIMap

Organization Active NPI

Howard D Iba DDS MD Inc

  • Dentist
  • Tulsa, OK
National Provider Identifier
1699850198
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3359 Issued in OK
Legal business name
HOWARD D IBA DDS MD INC
Practice address
5010 E 68TH St
Suite 100
Tulsa, OK 74156
Phone
(918) 492-5353
Fax
(918) 492-5374
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Howard Demmistoh Iba, DDS
Title
Orthodontist President
Phone
(918) 492-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3359 OK Primary

Addresses

Primary practice location

5010 E 68TH St
Suite 100
Tulsa, OK 74156

Mailing address

5010 E 68TH St
Suite 100
Tulsa, OK 74156
Phone (918) 492-5353

National Provider Directory

National Provider Directory

Locations

5010 E 68th St
Ste 100
Tulsa, OK 74136
Phone (918) 492-5353

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699850198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 E 68TH ST",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74156",
            "telephone_number": "918-492-5353",
            "fax_number": "918-492-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E 68TH ST",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74156",
            "telephone_number": "918-492-5353",
            "fax_number": "918-492-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD D IBA DDS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IBA",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "DEMMISTOH",
        "authorized_official_title_or_position": "ORTHODONTIST PRESIDENT",
        "authorized_official_telephone_number": "918-492-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "3359",
            "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 Aug 22, 2020; 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.