Organization Active NPI

Ashton Creek Oral Surgery Suites, P.L.L.C.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Tulsa, OK
National Provider Identifier
1710138219
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
ASHTON CREEK ORAL SURGERY SUITES, P.L.L.C.
Practice address
9118 S Toledo Ave
Tulsa, OK 74137-2700
Phone
(918) 495-1800
Fax
(918) 495-1890
NPI assigned
Oct 2, 2008
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Dan E. Patterson, D.D.S.NPI 1053306142
Title
Managing Partner
Phone
(918) 495-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

9118 S Toledo Ave
Tulsa, OK 74137-2700

Mailing address

9118 S Toledo Ave
Tulsa, OK 74137-2700
Phone (918) 495-1800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1710138219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9118 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372700",
            "telephone_number": "918-495-1800",
            "fax_number": "918-495-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372700",
            "telephone_number": "918-495-1800",
            "fax_number": "918-495-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHTON CREEK ORAL SURGERY SUITES, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "918-495-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "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 Oct 2, 2008; 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.