Active NPI
On the Cusp Specialty Dental PLLC
- Pediatric Dentistry
- Tulsa, OK
National Provider Identifier
1992368278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- ON THE CUSP SPECIALTY DENTAL PLLC
- Practice address
- 4444 S. Harvard Ave
Ste 100
Tulsa, OK 74135 - Phone
- (918) 970-4944
- Fax
- (918) 271-5618
- NPI assigned
- Apr 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan Scott Roberts, DDS
- Title
- Ceo
- Phone
- (918) 970-4944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
4444 S. Harvard Ave
Ste 100
Tulsa, OK 74135
Mailing address
4444 S. Harvard Ave
Ste 100
Tulsa, OK 74135
Phone (918) 970-4944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200258530A | Medicaid | OK |
Other names 1
- DBA On The Cusp Midtown
National Provider Directory
National Provider DirectoryLocations
4444 S Harvard Ave
Tulsa, OK 74135
Phone (918) 744-0228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700611200000",
"number": "1992368278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 S. HARVARD AVE",
"address_2": "STE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "74135",
"telephone_number": "918-970-4944",
"fax_number": "918-271-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 S. HARVARD AVE",
"address_2": "STE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "74135",
"telephone_number": "918-970-4944",
"fax_number": "918-271-5618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON THE CUSP SPECIALTY DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-22",
"last_updated": "2023-11-22",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "918-970-4944",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200258530A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DBA On The Cusp Midtown",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.