Individual provider Active NPI

Lori Hare, DDS

  • Dentist
  • Claremore, OK
National Provider Identifier
1811058654
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5138 Issued in OK
Practice address
201 N Lynn Riggs Blvd
Claremore, OK 74017-6815
Phone
(918) 343-4300
Fax
(918) 342-4697
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5138 OK
Dentist 122300000X 5138 OK Primary

Addresses

Primary practice location

201 N Lynn Riggs Blvd
Claremore, OK 74017-6815

Mailing address

1326 E 43Rd CT Ste 100
Tulsa, OK 74105-4155
Phone (918) 749-0303

Other practice location 1

1326 E 43rd Ct Ste 100
Tulsa, OK 74105-4155
Phone (918) 749-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20160405001462 OK Order and Referring Only - DentistPractitioner - Dentist 1658678735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5138OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Smiles Family Dentistry PLLP Dentist CurrentSince Oct 27, 2022 Accepting new patients
Healthy Smiles Family Dentistry PLLP Dentist CurrentSince Sep 25, 2022 Accepting new patients

Locations

201 N Lynn Riggs Blvd
Claremore, OK 74017
Phone (918) 343-4300

1326 E 43rd Ct
Ste 100
Tulsa, OK 74105
Phone (918) 749-0303

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1811058654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 E 43RD CT STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741054155",
            "telephone_number": "918-749-0303",
            "fax_number": "918-749-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N LYNN RIGGS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740176815",
            "telephone_number": "918-343-4300",
            "fax_number": "918-342-4697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 E 43rd Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741054155",
            "country_code": "US",
            "telephone_number": "918-749-0303",
            "fax_number": "918-749-0304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARE",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5138",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

Verify at the official NPI Registry.