NPIMap

Organization Active NPI

Tulsa Dental Management, Inc.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1730357674
Registry record updated Jun 16, 2008
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4076 Issued in OK
Legal business name
TULSA DENTAL MANAGEMENT, INC.
Practice address
5676 W Skelly Dr
Ste a
Tulsa, OK 74107-9144
Phone
(918) 446-0128
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Daniel Edward Tarr, D.D.S.
Title
President/Owner
Phone
(918) 446-0128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4076 OK Primary

Addresses

Primary practice location

5676 W Skelly Dr
Ste a
Tulsa, OK 74107-9144

Mailing address

5676 W Skelly Dr
Ste a
Tulsa, OK 74107-9144
Phone (918) 446-0128

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1730357674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5676 W SKELLY DR",
            "address_2": "STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741079144",
            "telephone_number": "918-446-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5676 W SKELLY DR",
            "address_2": "STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741079144",
            "telephone_number": "918-446-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA DENTAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "TARR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "918-446-0128",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4076",
            "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 Jun 16, 2008; 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.