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Deactivated NPI 1124172143 Deactivated / Inactive NPI Male Practitioner

Dr. Ted R Andress , DPM

Podiatrist • 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. Ted Andress has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2007
NPI Deactivation Date August 19, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Ted Andress, DPM was a registered Podiatrist practicing in Tulsa, OK. Throughout an active medical career spanning 14 years, Dr. Andress provided care at the practice location at 5930 E 31ST ST until profile deactivation on 2021-08-19.

Practice Location & Contact Primary Location

Practice Address

5930 E 31st St
Suite 300

Tulsa, OK 741355114

Telephone 9184926333
Associated Practice Facility / Clinic
🏢 Jim Maxey, D.d.s., Inc., Pc Facility NPI 1750388427

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.7 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Tulsa, OK (71 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

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OK 100

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1497755540

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 19, 2021

Record deactivated on August 19, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5930 E 31ST ST, SUITE 300, TULSA, OK 741355114 (Tel: 9184926333)

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Updated Business Mailing Address July 08, 2007

Registered at 6966 S UTICA AVE, SUITE 225, TULSA, OK 741363903 (Tel: 9184926333)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TED ANDRESS, DPM

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

Podiatrist (License #100 in OK)

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Initial NPI Registration & Enumeration January 23, 2007

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: 1124172143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: July 08, 2007
Deactivation Date: August 19, 2021

Mailing Address

6966 S Utica Ave, Suite 225

Tulsa, OK 741363903

Phone: 9184926333

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.