Active NPI
Mark Gaches, D.D.S.
- Dentist
- Tulsa, OK
National Provider Identifier
1831565753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6773
- Practice address
- 10004 S Memorial Dr
Tulsa, OK 74133-6103 - Phone
- (918) 209-5123
- Fax
- (918) 209-5124
- NPI assigned
- Aug 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6773 | OK | Primary |
Addresses
Primary practice location
10004 S Memorial Dr
Tulsa, OK 74133-6103
Mailing address
10004 S Memorial Dr
Tulsa, OK 74133-6103
Phone (918) 209-5123
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1831565753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10004 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741336103",
"telephone_number": "918-209-5123",
"fax_number": "918-209-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741336103",
"telephone_number": "918-209-5123",
"fax_number": "918-209-5124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GACHES",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6773",
"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 Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.