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Deactivated NPI 1497752422 Deactivated / Inactive NPI Male Practitioner

Dr. Jim Maxey , DDS

Dentist - General Practice • Tulsa, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jim Maxey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2005
NPI Deactivation Date July 06, 2005
Total Practice Duration ~1 Years of Practice (2005 – 2005)

Professional Overview & Biography Verified Profile Summary

Dr. Jim Maxey, DDS was a registered Dentist - General Practice practicing in Tulsa, OK. Throughout an active medical career spanning 1 years, Dr. Maxey provided care at the practice location at 5930 E 31ST ST until profile deactivation on 2005-07-06.

Practice Location & Contact Primary Location

Practice Address

5930 E 31st St
Suite 600

Tulsa, OK 74135

Telephone 9187422424
Fax 9187421253
Associated Practice Facility / Clinic
🏢 Jim Maxey, D.d.s., Inc., Pc Facility NPI 1750388427

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
187 Specialists

Practicing in Tulsa, OK (1496 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 3569

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1124172143

Doctor of Podiatric Medicine

Jasmine Billingsley

Counselor - Mental Health

NPI 1275912610
Cristi Carnahan

Occupational Therapist

NPI 1447320957
Dr. Michael Shepherd , DDS

Dentist - General Practice

NPI 1477691574

Doctor of Dental Surgery

Myra Mclaughlin

Physical Therapist

NPI 1598835092
Erica Robinson , LMSW

Social Worker - Clinical

NPI 1609241009

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 5930 E 31ST ST, SUITE 600, TULSA, OK 74135 (Tel: 9187422424)

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Updated Business Mailing Address July 08, 2007

Registered at 5930 E 31ST ST, SUITE 600, TULSA, OK 74135 (Tel: 9187422424)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JIM MAXEY, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3569 in OK)

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NPI Profile Reactivated December 05, 2006

Record officially reactivated for active practice on December 05, 2006

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NPI Profile Deactivated July 06, 2005

Record deactivated on July 06, 2005

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Initial NPI Registration & Enumeration July 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497752422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2005
Last Update: July 08, 2007
Deactivation Date: July 06, 2005
Sole Proprietor: No

Mailing Address

5930 E 31st St, Suite 600

Tulsa, OK 74135

Phone: 9187422424

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.