Active NPI
William M. Nyquist D.D.S
- General Practice Dentistry
- Tulsa, OK
National Provider Identifier
1922317601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4127
- Legal business name
- WILLIAM M. NYQUIST D.D.S
- Practice address
- 11720 E 21St St Ste a
Tulsa, OK 74129-1824 - Phone
- (918) 437-9111
- Fax
- (918) 437-1684
- NPI assigned
- Sep 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William M. Nyquist, D.D.S.
- Title
- Dentist
- Phone
- (918) 437-9111
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4127 | OK | Primary |
Addresses
Primary practice location
11720 E 21St St Ste a
Tulsa, OK 74129-1824
Mailing address
11720 E 21St St Ste a
Tulsa, OK 74129-1824
Phone (918) 437-9111
National Provider Directory
National Provider DirectoryLocations
11720 E 21st St
Ste A
Tulsa, OK 74129
Phone (918) 437-9111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Tulsa, OK
- NPI 1548262314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285718400000",
"number": "1922317601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11720 E 21ST ST STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741291824",
"telephone_number": "918-437-9111",
"fax_number": "918-437-1684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11720 E 21ST ST STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741291824",
"telephone_number": "918-437-9111",
"fax_number": "918-437-1684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM M. NYQUIST D.D.S",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-29",
"last_updated": "2010-09-29",
"status": "A",
"authorized_official_last_name": "NYQUIST",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "918-437-9111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "4127",
"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 Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.