Individual provider Active NPI

Tony Abraham Titty, D.D.S.

  • General Practice Dentistry
  • Yukon, OK
National Provider Identifier
1710817473
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8222 Issued in OK
Practice address
2825 S Mustang Rd
Yukon, OK 73099-6186
Phone
(405) 289-8171
NPI assigned
May 22, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8222 OK Primary

Addresses

Primary practice location

2825 S Mustang Rd
Yukon, OK 73099-6186

Mailing address

800 N Oklahoma Ave Apt 1232
Oklahoma City, OK 73104-4411
Phone (945) 209-0065

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

State licenses

LicenseStateTypeSpecialty
8222OKMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1710817473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N OKLAHOMA AVE APT 1232",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044411",
            "telephone_number": "945-209-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996186",
            "telephone_number": "405-289-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITTY",
        "first_name": "TONY",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "8222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.