J. Bracken Finnell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4228 Issued in OK

Practice address

1623 S Peoria Ave
Tulsa, OK 74120-6203

Phone

(918) 585-2254

Fax

(918) 583-8765

NPI assigned

Feb 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 26, 2016 through Oct 26, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jerry B. Finnell,DDS

  • General Practice Dentistry
  • Tulsa, OK
  • NPI 1114184488
  NPD (past)
• Mason R Davis DDS PLC

  • Dental Clinic/Center
  • Tulsa, OK
  • NPI 1871247502
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952449233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741206203",
            "telephone_number": "918-585-2254",
            "fax_number": "918-583-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741206203",
            "telephone_number": "918-585-2254",
            "fax_number": "918-583-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNELL",
        "first_name": "J.",
        "middle_name": "BRACKEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherisse Finley
• Marissa Finley
• Meggie Finley, PHARMD
• Stephanie Diane Finley, BA
• Thomas A. Finley, MD.
• Stacey Finnerty, DHM
• Joseph T Finnigan
• Terri Finnigan
• Holly Elizabeth Firey
• Kimberley Ann Firey, D.D.S.

• 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 Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.