CALLIE D BOUZIDEN (NPI# 1649591033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649591033 |
| Entity Type | Individual |
| Full Name | CALLIE D BOUZIDEN |
| Credential | D.D.S |
| Practice Address |
6565 S Yale Ave Suite 1100 Tulsa OK 74136-8327 |
| Mailing Address |
2144 S Hudson Pl Tulsa OK 74114-2252 |
| Practice Telephone | 9184814900 |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2010-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6183 | OK | Dental Providers |
| Street Address |
6565 S YALE AVE SUITE 1100 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-8327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559201 | Brian Roadhouse | Chiropractor | 6565 S Yale Ave, Ste 106, Tulsa, OK 74136-8310 | 2005-06-27 |
| 1609404946 | Alexandra Kirsten Morton | Nurse Practitioner | 6565 S Yale Ave, Tulsa, OK 74136-8327 | 2020-03-31 |
| 1164060158 | Regeneration Nation LLC | Family Medicine | 6565 S Yale Ave, Tulsa, OK 74136-8327 | 2019-12-20 |
| 1740737121 | Jenna Aizenman | Nurse Practitioner | 6565 S Yale Ave, Suite 508, Tulsa, OK 74136-8327 | 2016-09-02 |
| 1083090229 | Ipa Tulsa Pllc | Clinic/Center | 6565 S Yale Ave, Suite 505, Tulsa, OK 74136-8327 | 2015-08-10 |
| 1396093647 | Autum Michole Caldwell | Physician Assistant | 6565 S Yale Ave, Suite 503, Tulsa, OK 74136-8327 | 2012-08-16 |
| 1649537176 | Mira Georgy | Internal Medicine | 6565 S Yale Ave, Suite 312, Tulsa, OK 74136-8327 | 2012-04-22 |
| 1336415173 | George Bryant Boyd | Family Medicine | 6565 S Yale Ave, Suite 1003, Tulsa, OK 74136-8327 | 2012-03-27 |
| 1689949778 | Happy Thoughts LLC | Clinic/Center | 6565 S Yale Ave, Suite 209, Tulsa, OK 74136-8327 | 2012-03-21 |
| 1710270905 | Total Care Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6565 S Yale Ave, Ste 901, Tulsa, OK 74136-8327 | 2011-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470743 | Tara Renae Littlefield | Dentist | 4770 S Harvard Ave, Tulsa, OK 74135-3024 | 2020-06-02 |
| 1548779135 | Dental Depot of I-44 & Harvard, Pllc | Dentist | 4770 S. Harvard Ave., Tulsa, OK 74135-3024 | 2017-09-26 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1407384639 | Scott Douglas Street | Dentist | 5510 E 41st St Ste C, Tulsa, OK 74135-6009 | 2017-06-01 |
| 1225566821 | Linda Jeanette Loscuito | Dentist | 5540 S 79th East Pl, Tulsa, OK 74145-7846 | 2017-05-25 |
| 1720514805 | Cardelyn Dds Inc PC | Dentist | 10342 E 21st St, Tulsa, OK 74129-1606 | 2017-05-10 |
| 1104272913 | Healthy Smiles Family Dentistry Pllp | Dentist | 1326 E 43rd Ct, Ste 100, Tulsa, OK 74105-4154 | 2016-05-11 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| 1588071823 | Ryan Coursey | Dentist | 7891 E 108th St, Suite X-4, Tulsa, OK 74133-7405 | 2014-07-18 |
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| 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.