Organization Active NPI

Michael P. Keenan, D.D.S.

  • Dental Clinic/Center
  • Tulsa, OK
National Provider Identifier
1780913699
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3740 Issued in OK
Legal business name
MICHAEL P. KEENAN, D.D.S.
Practice address
6565 S Yale Ave
Suite 1105
Tulsa, OK 74136-8327
Phone
(918) 481-4949
Fax
(918) 481-4995
NPI assigned
Dec 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Authorized official

Name
Dr. Michael P. Keenan, D.D.S.NPI 1851432454
Title
Owner/Dentist
Phone
(918) 481-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3740 OK Primary

Addresses

Primary practice location

6565 S Yale Ave
Suite 1105
Tulsa, OK 74136-8327

Mailing address

6565 S. Yale Ave
Suite 1105
Tulsa, OK 74136-8378
Phone (918) 481-4949

National Provider Directory

National Provider Directory

Locations

6565 S Yale Ave
Ste 1105
Tulsa, OK 74136
Phone (918) 481-4949

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1780913699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S. YALE AVE",
            "address_2": "SUITE 1105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368378",
            "telephone_number": "918-481-4949",
            "fax_number": "918-481-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE",
            "address_2": "SUITE 1105",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368327",
            "telephone_number": "918-481-4949",
            "fax_number": "918-481-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. KEENAN, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "918-481-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "3740",
            "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 Dec 24, 2009; 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.