Individual provider Active NPI

Tiffany Dawn Dupree, DO

  • Obstetrics & Gynecology Physician
  • Moore, OK
National Provider Identifier
1700018330
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4754 Issued in OK
Practice address
2900 S Telephone Rd Ste 200
Moore, OK 73160-2971
Phone
(405) 425-8163
Fax
(405) 912-7295
NPI assigned
Aug 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4754 OK Primary

Addresses

Primary practice location

2900 S Telephone Rd Ste 200
Moore, OK 73160-2971

Mailing address

3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000459 OK Practitioner - Obstetrics/Gynecology 1658537949 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4754OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmers Union Hospital Association CurrentSince Aug 1, 2012 Accepting new patients
Farmers Union Hospital Association CurrentSince Aug 1, 2012 Accepting new patients
Integris Ambulatory Care Corporation Obstetrics & Gynecology CurrentSince Oct 9, 2023 Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1800 W 1st St
Ste 101
Elk City, OK 73644
Phone (580) 225-1088

2900 S Telephone Rd
Ste 200
Moore, OK 73160
Phone (405) 425-8100

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

Organizations & group practices 5

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": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1700018330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S TELEPHONE RD STE 200",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602971",
            "telephone_number": "405-425-8163",
            "fax_number": "405-912-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-16",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "4754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.