KEITHLINE DIGITAL IMAGING LLC


Address: 1421 E 13th St, Tulsa, OK 74120-5207
Phone: 9185853744

KEITHLINE DIGITAL IMAGING LLC (NPI# 1467680231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467680231
Entity Type Organization
Organization Name KEITHLINE DIGITAL IMAGING LLC
Other Organization Name UTICA IMAGING
Practice Address 1421 E 13th St
Tulsa
OK 74120-5207
Practice Telephone 9185853744
Practice Fax Number 9185853774
Mailing Telephone 9185853744
Mailing Fax Number 9185853774
Enumeration Date 2009-06-30
Last Update Date 2009-06-30
Authorized Official Name DR. CHARLES R KEITHLINE III (OWNER)
Authorized Official Telephone 9185853744
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0008X Dentist
Specialization: Oral and Maxillofacial Radiology
784 OK Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 100635530C 05

Other Provider/Organization Names

Other Name Type Code
Utica Imaging Doing Business As Name - Organization

Office Location

Street Address 1421 E 13TH ST
City TULSA
State OK
Zip Code 74120-5207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932269933 Charles R. Keithline Dentist 1421 E 13th St, Tulsa, OK 74120-5207 2006-12-11
1366775140 Ob Dental, LLC Dentist 1421 E 13th St, Tulsa, OK 74120-5207 2009-09-11
1609018548 Pediatric Dental Group, LLC Dentist 1421 E 13th St, Tulsa, OK 74120-5207 2009-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144704321 Quintella Delana Miller Case Manager/Care Coordinator 1043 E Easton St, Tulsa, OK 74120 2018-09-24
1689152092 Charles Granger Jr. Case Manager/Care Coordinator 103 N Greenwood, Suite 320, Tulsa, OK 74120 2018-07-30
1174015598 Debra Anne Beasley Counselor 1619 E. 13th St., Tulsa, OK 74120 2018-06-01
1649775701 Cara Marie Cantu Licensed Practical Nurse 620 South Peoria, Tulsa, OK 74120 2018-03-29
1639558745 Wei Te Li Student in an Organized Health Care Education/Training Program 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 2015-05-21
1225434350 Marcos Rivero Community/Behavioral Health 130 N. Greenwood, Suite 302, Tulsa, OK 74120 2014-11-18
1861742348 Tamiika Jones Social Worker 1533 E 13th St, Apt B, Tulsa, OK 74120 2012-09-12
1730408097 Teresa Lee Henshaw Physical Therapist 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 2010-05-26
1194970384 Kym Lynnette Lindsay Speech-Language Pathologist 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 2008-12-01
1184872004 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 2008-09-04
Find all providers in zip 74120

Taxonomy Information

Taxonomy Code 1223X0008X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Radiology

Taxonomy Definition

The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730283870 Farah Masood Dentist University of Oklahoma College of Dentistry, 1201 North Stonewall Ave., Oklahoma City, OK 73190 2006-09-11

Competitor

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City TULSA
Zip Code 74120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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