Ted R Andress DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

100 Issued in OK

Legal business name

TED R ANDRESS DPM INC

Practice address

5930 E 31St St
#300
Tulsa, OK 74135-5114

Phone

(918) 622-1660

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ted R Andress, DPM

Title

Owner

Phone

(918) 381-7075

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730277591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 S 106TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335115",
            "telephone_number": "918-381-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 E 31ST ST",
            "address_2": "#300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355114",
            "telephone_number": "918-622-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED R ANDRESS DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRESS",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-381-7075",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.