DR. JEREMY RYAN ARCHER (NPI# 1154988277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154988277 |
Entity Type | Individual |
Full Name | DR. JEREMY RYAN ARCHER |
Credential | D.D.S. |
Practice Address |
4606 E 67th St Ste 312 Tulsa OK 74136-4950 |
Mailing Address |
2321 E 3rd St Tulsa OK 74104-1831 |
Practice Telephone | 9184944445 |
Practice Fax Number | 9184944414 |
Mailing Telephone | 9184944445 |
Enumeration Date | 2019-05-23 |
Last Update Date | 2019-08-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
7166 | OK | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386179232 | Jeremy Scott Archer | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2017-04-28 |
1710391172 | Jeremy Archer | Social Worker | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2014-06-13 |
1093847360 | Jeremy Michael Archer | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-0703 | 2007-03-12 |
Street Address |
4606 E 67TH ST STE 312 |
City | TULSA |
State | OK |
Zip Code | 74136-4950 |
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 | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
1346801198 | Progressive Dental Care of Tulsa, Pllc | Dentist | 7614 E 91st St Ste 120, Tulsa, OK 74133-6047 | 2019-06-24 |
1295394211 | Hope Restorative and Cosmetic Dentistry | Dentist | 9445 S Mingo Rd Ste 120, Tulsa, OK 74133-5827 | 2019-06-12 |
1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
1558852459 | Kyle Sikes | Dentist | 6565 S Yale Ave Ste 1104, Tulsa, OK 74136-8380 | 2018-05-25 |
1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
1114445285 | T-town Smiles, PC | Dentist | 6565 S Yale Ave # 1107, Tulsa, OK 74136-8327 | 2017-09-08 |
1235679440 | Tulsa Premier Dentistry, Pllc | Dentist | 7891 E 108th St Ste X4, Tulsa, OK 74133-7406 | 2017-03-07 |
1033571104 | Alexander D. Williams, D.d.s., P.C. | Dentist | 5510 E 41st St, Suite C, Tulsa, OK 74135-6009 | 2016-03-28 |
1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
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.