NPIMap

Organization Active NPI

Gary H. Smith, D.D.S., PC

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1922020346
Registry record updated Aug 22, 2020
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, D.D.S., PC
Practice address
5424 S Memorial Dr
D-1
Tulsa, OK 74145-9003
Phone
(918) 280-0880
NPI assigned
Jul 24, 2006
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
Dr. Gary H Smith, D.D.S.NPI 1417940743
Title
Dentist/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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5156 OK Primary

Addresses

Primary practice location

5424 S Memorial Dr
D-1
Tulsa, OK 74145-9003

Mailing address

5424 S Memorial Dr
D-1
Tulsa, OK 74145-9003
Phone (918) 280-0880

Other names 1

  • Tallgrass Dental Group Other name

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.

Locations

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

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": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922020346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 S MEMORIAL DR",
            "address_2": "D-1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459003",
            "telephone_number": "918-280-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 S MEMORIAL DR",
            "address_2": "D-1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459003",
            "telephone_number": "918-280-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY H. SMITH, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "918-280-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallgrass Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.