NPIMap

Organization Active NPI

Child Neurology of Tulsa, PC

  • Specialist
  • Tulsa, OK
National Provider Identifier
1821316548
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19880 Issued in OK
Legal business name
CHILD NEUROLOGY OF TULSA, PC
Practice address
6465 S Yale Ave
Ste 320
Tulsa, OK 74136-7823
Phone
(918) 493-3300
Fax
(918) 493-3315
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. David Jonathan Siegler, M.D.NPI 1356436000
Title
President Owner
Phone
(918) 493-3300

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 19880 OK Primary

Addresses

Primary practice location

6465 S Yale Ave
Ste 320
Tulsa, OK 74136-7823

Mailing address

6465 S Yale Ave
Ste 320
Tulsa, OK 74136-7823
Phone (918) 493-3300

Other identifiers 1

IdentifierTypeStateIssuer
100213720BMedicaidOK

National Provider Directory

National Provider Directory

Locations

6465 S Yale Ave
Ste 320
Tulsa, OK 74136
Phone (918) 493-3300

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": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1821316548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE",
            "address_2": "STE 320",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367823",
            "telephone_number": "918-493-3300",
            "fax_number": "918-493-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE",
            "address_2": "STE 320",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367823",
            "telephone_number": "918-493-3300",
            "fax_number": "918-493-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD NEUROLOGY OF TULSA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "SIEGLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "918-493-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "19880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100213720B",
            "state": "OK"
        }
    ],
    "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 May 5, 2010; 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.