Active NPI
Christopher Dalton, D.O.
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1952388704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3941
- Practice address
- 4415 S Harvard Ave Ste 209
Tulsa, OK 74135-2618 - Phone
- (539) 202-1585
- Fax
- (539) 202-1588
- NPI assigned
- Dec 22, 2005
- Last updated
- Sep 4, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3941 | OK | Primary |
Addresses
Primary practice location
4415 S Harvard Ave Ste 209
Tulsa, OK 74135-2618
Mailing address
4415 S Harvard Ave Ste 209
Tulsa, OK 74135-2618
Phone (539) 202-1585
Other practice location 1
7858 South Olympia Avenue
Tulsa, OK 74133
Phone (981) 369-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240716004818 | OK | Order and Referring Only - Family Practice | 1153305594 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solidaritus Health Group PC | Family Medicine | 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 Solidaritus FHC - Tulsa
- Family Medicine Physician
- Tulsa, OK
- NPI 1477044790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1952388704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 S HARVARD AVE STE 209",
"city": "TULSA",
"state": "OK",
"postal_code": "741352618",
"telephone_number": "539-202-1585",
"fax_number": "539-202-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 S HARVARD AVE STE 209",
"city": "TULSA",
"state": "OK",
"postal_code": "741352618",
"telephone_number": "539-202-1585",
"fax_number": "539-202-1588"
}
],
"practiceLocations": [
{
"address_1": "7858 South Olympia Avenue",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "74133",
"country_code": "US",
"telephone_number": "981-369-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALTON",
"first_name": "CHRISTOPHER",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "3941",
"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 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.