Active NPI
Timothy Daniel Regan, DDS
- Dentist
- Sand Springs, OK
National Provider Identifier
1942296421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5569
- Practice address
- 530 Plaza CT
Sand Springs, OK 74063-7915 - Phone
- (918) 245-8333
- Fax
- (918) 245-8338
- NPI assigned
- Sep 21, 2005
- Last updated
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5569 | OK | Primary |
Addresses
Primary practice location
530 Plaza CT
Sand Springs, OK 74063-7915
Mailing address
530 Plaza CT
Sand Springs, OK 74063-7915
Phone (918) 245-8333
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TNT Dental Services PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Willow Hill Dental
- General Practice Dentistry
- Sand Springs, OK
- NPI 1073754925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1942296421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 PLAZA CT",
"city": "SAND SPRINGS",
"state": "OK",
"postal_code": "740637915",
"telephone_number": "918-245-8333",
"fax_number": "918-245-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 PLAZA CT",
"city": "SAND SPRINGS",
"state": "OK",
"postal_code": "740637915",
"telephone_number": "918-245-8333",
"fax_number": "918-245-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "TIMOTHY",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sand Springs, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.