Active NPI
John Rogers DDS PC
- General Practice Dentistry
- Tulsa, OK
National Provider Identifier
1700135407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6209
- Legal business name
- JOHN ROGERS DDS PC
- Practice address
- 6802 S Olympia Ave
Suite 275
Tulsa, OK 74132-1823 - Phone
- (918) 408-9543
- NPI assigned
- Sep 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John M Rogers, D.D.S.
- Title
- Owner
- Phone
- (918) 408-9543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6209 | OK | Primary |
Addresses
Primary practice location
6802 S Olympia Ave
Suite 275
Tulsa, OK 74132-1823
Mailing address
6802 S Olympia Ave
Suite 275
Tulsa, OK 74132-1823
Phone (918) 408-9543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200297330A | Medicaid | OK |
Other names 1
- Refresh
National Provider Directory
National Provider DirectoryLocations
6802 S Olympia Ave
Ste 275
Tulsa, OK 74132
Phone (918) 508-7601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347235200000",
"number": "1700135407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6802 S OLYMPIA AVE",
"address_2": "SUITE 275",
"city": "TULSA",
"state": "OK",
"postal_code": "741321823",
"telephone_number": "918-408-9543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6802 S OLYMPIA AVE",
"address_2": "SUITE 275",
"city": "TULSA",
"state": "OK",
"postal_code": "741321823",
"telephone_number": "918-408-9543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN ROGERS DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-10",
"last_updated": "2012-09-10",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-408-9543",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200297330A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Refresh",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.