Sandra Kay Dimmitt M.D. PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11700 Issued in OK

Legal business name

SANDRA KAY DIMMITT M.D. PC

Practice address

2642 E 21St St Ste 285
Tulsa, OK 74114-1789

Phone

(918) 574-8800

Fax

(918) 574-8801

NPI assigned

Mar 26, 2010

Organization subpart

No

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

Authorized official

Name

Renee Berryman

Title

Cfo

Phone

(480) 268-2260

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1710201298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 E 21ST ST STE 285",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141789",
            "telephone_number": "918-574-8800",
            "fax_number": "918-574-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 E 21ST ST STE 285",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141789",
            "telephone_number": "918-574-8800",
            "fax_number": "918-574-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA KAY DIMMITT M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "BERRYMAN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-268-2260"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "11700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Crowley Evans Sandkuhl, DPH
• David A Sandler, M.D.
• Kathryn Noel Bynum Sandman, APRN
• Susan Ann Sandman
• Kevin De Jesus Sandoval Juarez
• Corey Anson Sands
• Stephanie Jean Sands, CNA
• Greg Sandy, O.D.
• Sarah Ruth Saner, MSW
• Katie Sanford

• General Practice Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.