Dr. Micah J. Bevins D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

DR. MICAH J. BEVINS D.D.S.

Practice address

6349 S Memorial Dr
Suite B
Tulsa, OK 74133-1928

Phone

(918) 252-4444

Fax

(918) 252-4333

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Micah Jon Bevins, D.D.S.NPI 1700871779

Title

General Dentist

Phone

(918) 252-4444

Specialties & licenses 1

Addresses

Other names 1

• Bevins Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Micah J Bevins, DDS

  • Public Health Dentistry
  • Tulsa, OK
  • NPI 1700871779

  Dental Public Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1962677344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 S MEMORIAL DR",
            "address_2": "SUITE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331928",
            "telephone_number": "918-252-4444",
            "fax_number": "918-252-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6349 S MEMORIAL DR",
            "address_2": "SUITE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331928",
            "telephone_number": "918-252-4444",
            "fax_number": "918-252-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICAH J. BEVINS D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "BEVINS",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "918-252-4444",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bevins Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Derrick Skaggs and Associates PC
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• Dr. Jin and Jin DDS PLLC
• Dr. Nesbit, PLLC
• Dr. Paul K. Shields, Inc
• Dr. Peteryne D. Miller, M.D. LLC
• Dr. Randy McCormick, P.C., Inc.
• Dr. Renee L. Allen, Psychologist, PLLC

• Public Health Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Public Health Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.