Randy S McCormick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5434 Issued in OK

Practice address

1701 S Peoria Ave
Tulsa, OK 74120-6801

Phone

(918) 743-2346

Fax

(918) 743-3166

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1942391388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741206801",
            "telephone_number": "918-743-2346",
            "fax_number": "918-743-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741206801",
            "telephone_number": "918-743-2346",
            "fax_number": "918-743-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 S Peoria Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741056821",
            "country_code": "US",
            "telephone_number": "918-743-2346",
            "fax_number": "918-743-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "RANDY",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudeen Dawn McCormick, MS
• Douglas Joe McCormick, MA
• Eugene Welker McCormick, D.D.S.
• Fallon Lacheria McCormick, DC
• Jeremiah McCormick, D.C.
• Vincent McCormick
• Amy McCosh, PHARM D
• Dasha Raven McCoskey
• Alyssa Kaye McCoy
• Anne Elizabeth McCoy, O.T.

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.