Jim Maxey, D.D.S., Inc., PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3569 Issued in OK

Legal business name

JIM MAXEY, D.D.S., INC., PC

Practice address

5930 E 31St St
Suite 600
Tulsa, OK 74135-5107

Phone

(918) 742-2424

Fax

(918) 742-1253

NPI assigned

Jul 7, 2005

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

Dr. Jim Maxey, DDSNPI 1497752422

Title

President

Phone

(918) 742-2424

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jim Maxey, DDS

  • General Practice Dentistry
  • Tulsa, OK
  • NPI 1497752422
  NPD (past) Authorized official

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750388427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 E 31ST ST",
            "address_2": "SUITE 600",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355107",
            "telephone_number": "918-742-2424",
            "fax_number": "918-742-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 E 31ST ST",
            "address_2": "SUITE 600",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355107",
            "telephone_number": "918-742-2424",
            "fax_number": "918-742-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM MAXEY, D.D.S., INC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAXEY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-742-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantel Michelle Jeudy
• Leslie Ann Jewett, MD
• Matthew Jezik, CST-CSFA
• JH Speech Therapy, LLC
• Varun Jhanji
• Zurima Elizabeth Jimenez Rosales, MD
• Daisy Jimenez
• Gabriel Jimenez
• Itzel Jimenez
• Levi Jimenez, PTA

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Dentistry 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.