Individual provider Active NPI

Wrany R Southard, D.D.S., P.C.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1780717702
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5455 Issued in OK
Practice address
6333 S Memorial Dr Ste G
Tulsa, OK 74133-1947
Phone
(918) 294-1144
Fax
(918) 294-0884
NPI assigned
Mar 13, 2007
Last updated
Oct 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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 5455 OK Primary

Addresses

Primary practice location

6333 S Memorial Dr Ste G
Tulsa, OK 74133-1947

Mailing address

6333 S Memorial Dr Ste G
Tulsa, OK 74133-1947
Phone (918) 294-1144

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
5455OKMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wrany R. Southard, D.D.S., P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1780717702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 S MEMORIAL DR STE G",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331947",
            "telephone_number": "918-294-1144",
            "fax_number": "918-294-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 S MEMORIAL DR STE G",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331947",
            "telephone_number": "918-294-1144",
            "fax_number": "918-294-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "WRANY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5455",
            "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 Oct 26, 2007; 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.