Dermatology and Laser Center of Oklahoma

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

23102 Issued in OK

Legal business name

DERMATOLOGY AND LASER CENTER OF OKLAHOMA

Practice address

9306 S Toledo CT
Suite #100
Tulsa, OK 74137-2746

Phone

(918) 494-0400

Fax

(918) 876-3437

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mary Christian, M.D.

Title

Physician

Phone

(918) 494-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Margaret Christian-Reed, M.D.

  • MOHS-Micrographic Surgery Physician
  • Tulsa, OK
  • NPI 1124038518
  Medicare reassignment Care Compare group NPD
• Stephanie R Johnson

  • Physician Assistant
  • Tulsa, OK
  • NPI 1669974754
  Medicare reassignment Care Compare group
• Brianne Smith, PA

  • Medical Physician Assistant
  • Tulsa, OK
  • NPI 1851631527
  Medicare reassignment Care Compare group
• Jacqueline Guidry, MD

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1538505847

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1942335773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 S TOLEDO CT",
            "address_2": "SUITE #100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372746",
            "telephone_number": "918-494-0400",
            "fax_number": "918-494-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9306 S TOLEDO CT",
            "address_2": "SUITE #100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372746",
            "telephone_number": "918-494-0400",
            "fax_number": "918-876-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND LASER CENTER OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-494-0400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OK",
            "license": "23102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Denton
• Tara Denton, DDS
• Denver Professional Reading LLC
• Micah Jon Derby, D.O.
• Gayle Derington, M.D.
• Dermatology Associates of Oklahoma LLC
• Dermatology Associates of Tulsa LLC
• Kim Deroin
• Ashley Elizabeth Deromanis
• Wesley J Derosier, O.D.

• MOHS-Micrographic Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• MOHS-Micrographic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.