Individual provider Active NPI

Whitney Mumma, DDS

  • Pediatric Dentistry
  • Bixby, OK
National Provider Identifier
1891327599
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
135 Issued in OK
Practice address
15000 S Hudson Ave
Bixby, OK 74008-5248
Phone
(918) 943-2020
NPI assigned
Feb 10, 2020
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 135 OK Primary

Addresses

Primary practice location

15000 S Hudson Ave
Bixby, OK 74008-5248

Mailing address

15000 S Hudson Ave
Bixby, OK 74008-5248
Phone (918) 943-2020

Other practice location 1

4404 W Houston St
Broken Arrow, OK 74012-4645
Phone (918) 392-0575

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

State licenses

LicenseStateTypeSpecialty
135OKMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Broermann Pediatric Dentistry of Tulsa Pediatric Dentistry CurrentSince Apr 23, 2023 Accepting new patients
Johnny Starkey DDS, PC Pediatric Dentistry Past Accepting new patients
Gilstrap Services LLC Pediatric Dentistry PastSince Jul 7, 2024 Accepting new patients

Locations

6585 S Yale Ave
Ste 510
Tulsa, OK 74136
Phone (918) 492-1106

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1891327599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 S HUDSON AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740085248",
            "telephone_number": "918-943-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 S HUDSON AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740085248",
            "telephone_number": "918-943-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4404 W Houston St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740124645",
            "country_code": "US",
            "telephone_number": "918-392-0575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMMA",
        "first_name": "WHITNEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bixby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.