Active NPI
Jacob A Duncan
- Student in an Organized Health Care Education/Training Program
- Tulsa, OK
National Provider Identifier
1710722921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4502 E 41St St
Tulsa, OK 74135-2536 - Phone
- (918) 619-4400
- Fax
- (918) 619-4152
- NPI assigned
- Jun 28, 2024
- Last updated
- Apr 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
4502 E 41St St
Tulsa, OK 74135-2536
Mailing address
47 Fox Run Cir
Jenks, OK 74037-9504
Phone (918) 815-2211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1710722921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 FOX RUN CIR",
"city": "JENKS",
"state": "OK",
"postal_code": "740379504",
"telephone_number": "918-815-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 E 41ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741352536",
"telephone_number": "918-619-4400",
"fax_number": "918-619-4152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "JACOB",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-28",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"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 Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.