Stephan Zigo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5564 Issued in OK

Practice address

4604 S Harvard Ave
Suite a
Tulsa, OK 74135-2922

Phone

(918) 749-2509

Fax

(918) 749-6486

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment NPD
• Cherokee Nation

  • Public Health or Welfare Agency
  • Tahlequah, OK
  • NPI 1013884154
  NPD
• Cherokee Nation

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1275799645
  NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Muskogee, OK
  • NPI 1841207156
  NPD
• Ben Gerkin, D.D.S., PC

  • General Practice Dentistry
  • Tulsa, OK
  • NPI 1396492534
  NPD (past)
• Stephan J. Zigo, D.D.S., P.C.

  • General Practice Dentistry
  • Tulsa, OK
  • NPI 1952410227
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760404107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352922",
            "telephone_number": "918-749-2509",
            "fax_number": "918-749-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 S HARVARD AVE",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352922",
            "telephone_number": "918-749-2509",
            "fax_number": "918-749-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIGO",
        "first_name": "STEPHAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanan Zickefoose, RN, COSMETIC TATTOO
• Weston Zickgraf
• Christopher S Ziegler, LMFT
• Sarah A Ziegler, PTA
• Matheus Alves Ziesemer, DO
• Sarah Yuka Kimizuka Zimmerle
• Jannell Lynn Zimmerman, D.C.
• Kellie Zimmerman
• Stanley Kyle Zimmerman, MD
• Zimmerman.Pro LLC

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.