NPIMap

Organization Active NPI

Nathan D Powell DDS PLLC

  • Dentist
  • Tulsa, OK
National Provider Identifier
1912380643
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6508 Issued in OK
Legal business name
NATHAN D POWELL DDS PLLC
Doing business as
Forefront Dentistry
Practice address
5424 S Memorial Dr Ste a
Tulsa, OK 74145-9003
Phone
(918) 664-6845
Fax
(918) 664-6847
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Dr. Nathan Powell, DDS
Title
Owner/Dentist
Phone
(918) 664-6845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6508 OK Primary

Addresses

Primary practice location

5424 S Memorial Dr Ste a
Tulsa, OK 74145-9003

Mailing address

5424 S Memorial Dr Ste a
Tulsa, OK 74145-9003
Phone (918) 664-6845

Other names 1

  • Forefront Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5424 S Memorial Dr
Ste A
Tulsa, OK 74145
Phone (918) 664-6845

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": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1912380643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 S MEMORIAL DR STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459003",
            "telephone_number": "918-664-6845",
            "fax_number": "918-664-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 S MEMORIAL DR STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459003",
            "telephone_number": "918-664-6845",
            "fax_number": "918-664-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN D POWELL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "918-664-6845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "6508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forefront Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 30, 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.

Verify at the official NPI Registry.