Individual provider Active NPI

Matthew Keith Saxon, D.D.S.

  • Periodontics
  • Tulsa, OK
National Provider Identifier
1710413794
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
93 Issued in OK
Practice address
4545 S Harvard Ave
Tulsa, OK 74135-2905
Phone
(918) 749-1850
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 93 OK Primary
Periodontics 1223P0300X 33125 TX

Addresses

Primary practice location

4545 S Harvard Ave
Tulsa, OK 74135-2905

Mailing address

4545 S Harvard Ave
Tulsa, OK 74135-2905
Phone (918) 749-1850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 5, 2025 through Mar 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
93OKMDCounselor
33125TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
David H. Wong, DDS, PC Periodontics CurrentSince Apr 21, 2024 Accepting new patients

Locations

4545 S Harvard Ave
Tulsa, OK 74135
Phone (918) 749-1850

Organizations & group practices 1

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1710413794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352905",
            "telephone_number": "918-749-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352905",
            "telephone_number": "918-749-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXON",
        "first_name": "MATTHEW",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OK",
            "license": "93",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "33125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.