Organization Active NPI

Gary H Smith DDS PC

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1881860690
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5156 Issued in OK
Legal business name
GARY H SMITH DDS PC
Practice address
5424 S Memorial Dr
Suite D1
Tulsa, OK 74145-9003
Phone
(918) 280-0880
Fax
(918) 280-0008
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Gary Haywood Smith, DDSNPI 1417940743
Title
President
Phone
(918) 280-0880

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5156 OK Primary

Addresses

Primary practice location

5424 S Memorial Dr
Suite D1
Tulsa, OK 74145-9003

Mailing address

5424 S Memorial Dr
Suite D1
Tulsa, OK 74145-9003
Phone (918) 280-0880

Other identifiers 1

IdentifierTypeStateIssuer
100637250CMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Gary H Smith DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1881860690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 S MEMORIAL DR",
            "address_2": "SUITE D1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459003",
            "telephone_number": "918-280-0880",
            "fax_number": "918-280-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 S MEMORIAL DR",
            "address_2": "SUITE D1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459003",
            "telephone_number": "918-280-0880",
            "fax_number": "918-280-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY H SMITH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "HAYWOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-280-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100637250C",
            "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 1, 2008; 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.