Organization Active NPI

David B Minor MD PC

  • Dermatology Physician
  • Tulsa, OK
National Provider Identifier
1881670032
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
14933 Issued in OK
Legal business name
DAVID B MINOR MD PC
Practice address
1516 S Yorktown PL
Tulsa, OK 74104-4918
Phone
(918) 712-8888
Fax
(918) 712-8892
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David B Minor, MD
Title
Owner
Phone
(918) 712-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 14933 OK Primary

Addresses

Primary practice location

1516 S Yorktown PL
Tulsa, OK 74104-4918

Mailing address

1516 S Yorktown PL
Tulsa, OK 74104-4918
Phone (918) 712-8888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881670032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 S YORKTOWN PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044918",
            "telephone_number": "918-712-8888",
            "fax_number": "918-712-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S YORKTOWN PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044918",
            "telephone_number": "918-712-8888",
            "fax_number": "918-712-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B MINOR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-712-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OK",
            "license": "14933",
            "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 22, 2020; 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.