ON THE CUSP MIDTOWN PLLC (NPI# 1992368278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992368278 |
Entity Type | Organization |
Organization Name | ON THE CUSP MIDTOWN PLLC |
Practice Address |
4444 S Harvard Ave Tulsa OK 74135-2634 |
Practice Telephone | 9189704944 |
Practice Fax Number | 9189704953 |
Mailing Telephone | 9189704944 |
Mailing Fax Number | 9189704953 |
Enumeration Date | 2019-04-22 |
Last Update Date | 2019-04-22 |
Authorized Official Name | DR. RYAN SCOTT ROBERTS (OWNER/DOCTOR) |
Authorized Official Telephone | 9189704944 |
Authorized Official Credential | DDS, MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200258530A | 05 |
Other Name | Type Code |
---|---|
On The Cusp Pediatric Dentistry | Doing Business As Name - Organization |
Street Address |
4444 S HARVARD AVE |
City | TULSA |
State | OK |
Zip Code | 74135-2634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124021191 | John Thomas Romano | Ophthalmology | 4444 S Harvard Ave, Ste 300, Tulsa, OK 74135-2611 | 2005-05-24 |
1851814180 | Rebecca Heath | Optometrist | 4444 S Harvard Ave, Tulsa, OK 74135-2634 | 2017-07-18 |
1962758078 | Amy E Slama | Optometrist | 4444 S Harvard Ave, #300, Tulsa, OK 74135-2634 | 2012-07-26 |
1598941338 | Raymond C. Bothell & Associates, Inc. | Clinic/Center | 4444 S Harvard Ave, Suite 100, Tulsa, OK 74135-2634 | 2008-01-10 |
1780738583 | Raymond Cameron Bothell | Audiologist | 4444 S Harvard Ave, Suite 100, Tulsa, OK 74135-2634 | 2007-01-22 |
1811058407 | W Wes Mcfarland | Otolaryngology | 4444 S Harvard Ave, #100, Tulsa, OK 74135-2634 | 2006-12-13 |
1568523165 | Donald M Dushay | Otolaryngology | 4444 S Harvard Ave, #100, Tulsa, OK 74135-2634 | 2006-12-13 |
1518028125 | Ear Nose & Throat Clinic of Tulsa, Inc | Otolaryngology | 4444 S Harvard Ave, #100, Tulsa, OK 74135-2634 | 2006-12-13 |
1922107648 | Adelaide L Priester | Ophthalmology | 4444 S Harvard Ave, Suite 300, Tulsa, OK 74135-2634 | 2006-09-21 |
1366445900 | Richard Elliott Mills | Ophthalmology | 4444 S Harvard Ave, Ste 300, Tulsa, OK 74135-2611 | 2005-05-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
Find all providers in zip 74135 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760864235 | Pediatric Dental Group II, LLC | Dentist | 7715 E 91st St Ste A, Tulsa, OK 74133-6060 | 2015-06-22 |
1548472137 | James F. Owens Dds Ms PC | Dentist | 10507 E 91st Street Suite 410, Tulsa, OK 74133 | 2007-05-04 |
1235283524 | Thomas Harold Gilbert Sr. | Dentist | 7116 S Mingo Rd, # 112, Tulsa, OK 74133 | 2007-01-23 |
1932269933 | Charles R. Keithline | Dentist | 1421 E 13th St, Tulsa, OK 74120-5207 | 2006-12-11 |
1356351662 | Mlk Dentistry Inc | Dentist | 2930 S Pittsburg Ave, Tulsa, OK 74114 | 2006-08-09 |
1750326690 | Sarah M Fox | Dentist | 6585 S Yale Ave Ste 510, Tulsa, OK 74136-8384 | 2006-06-17 |
1598742751 | James George Steyer Jr. | Dentist | 10127 S Yale Ave, Tulsa, OK 74137-6002 | 2005-12-29 |
1881688513 | Gary Wallace Fisher | Dentist | 1203 E 33rd St, Ste 100, Tulsa, OK 74105-2040 | 2005-09-08 |
1376542928 | Ronald Lynn Winder | Dentist | 5602 S Memorial Dr, Tulsa, OK 74145-9016 | 2005-07-17 |
1114249190 | Fox Broermann Pediatric Dentistry of Tulsa | Dentist | 6585 S Yale Ave Ste 510, Tulsa, OK 74136-8384 | 2010-02-18 |
Find all providers in TULSA |
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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.