CALYSTA C BEATTY


Address: 1334 N Lansing Ave, Tulsa, OK 74106
Phone: 9185872171

CALYSTA C BEATTY (NPI# 1720237589) 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) 1720237589
Entity Type Individual
Full Name CALYSTA C BEATTY
Credential DDS
Practice Address 1334 N Lansing Ave
Tulsa
OK 74106
Mailing Address 1200 W State St
Rockford
IL 61102-2112
Practice Telephone 9185872171
Practice Fax Number 9182956106
Mailing Telephone 8154901600
Mailing Fax Number 8154901881
Enumeration Date 2008-09-16
Last Update Date 2018-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019028500 IL Dental Providers
N 122300000X Dentist 0401412295 VA Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1200 W State St, Rockford, IL 611022112 8154901600 8154901881

Office Location

Street Address 1334 N LANSING AVE
City TULSA
State OK
Zip Code 74106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316948656 Michael T Montague Family Medicine 1334 N Lansing Ave, Tulsa, OK 74106-5907 2005-08-09
1750928974 Martha Lievano-stanton Social Worker 1334 N Lansing Ave, Tulsa, OK 74106-5907 2019-12-06
1700420155 Molly Ann Hannagan Nurse Practitioner 1334 N Lansing Ave, Tulsa, OK 74106-5907 2019-10-29
1629535174 Jan Laverne Figart Nurse Practitioner 1334 N Lansing Ave, Tulsa, OK 74106-5907 2019-02-20
1326533324 Paula Jean Rowan Nurse Practitioner 1334 N Lansing Ave, Tulsa, OK 74106-5907 2018-06-22
1457877433 Amber Jones Nurse Practitioner 1334 N Lansing Ave, Tulsa, OK 74106-5907 2017-08-21
1003336942 Carter G Brashears Pharmacist 1334 N Lansing Ave, Tulsa, OK 74106-5907 2017-06-21
1265884340 Caleb Demarais Counselor 1334 N Lansing Ave, Tulsa, OK 74106-5907 2016-07-12
1033565676 Elizabeth J Archer-cooper Physician Assistant 1334 N Lansing Ave, Tulsa, OK 74106-5907 2016-05-13
1821466244 Emily Spencer Nurse Practitioner 1334 N Lansing Ave, Tulsa, OK 74106-5907 2015-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811538895 Desma Johnson Technician 784 East 43rd Street North, Tulsa, OK 74106 2019-10-01
1912462094 Breyan Lashawn Jackson Case Manager/Care Coordinator 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 2019-02-04
1740751445 Ernest Kaara Maina Family Medicine 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 2018-12-07
1568969632 A&m Healthcare Clinic Nurse Practitioner 3606 North Mlk Blvd, Tulsa, OK 74106 2018-04-06
1265880819 Paula Patricia Tullis Psychologist 1232 N Boston, Tulsa, OK 74106 2016-05-24
1326413030 Eartha Mcalester Counselor 628 E. Virgin St., Tulsa, OK 74106 2015-12-07
1114334182 James O Brannon Jr. Behavioral Analyst 2745 North Main, Tulsa, OK 74106 2014-07-22
1952718512 Teresa Marie Williams Counselor 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 2014-07-16
1639580764 Lynnette Dixon Case Management 708 East 38th Street North, Tulsa, OK 74106 2014-05-12
1184975898 Tiara Delonia Social Worker 1 W 36th St N Suite 1, Tulsa, OK 74106 2012-09-21
Find all providers in zip 74106

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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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Competitor

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City TULSA
Zip Code 74106

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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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