DR. LAURIE LYNN SOUTHARD BS, MS, DDS
NPI 1215054820
Dentist - Endodontics in Tulsa, OK
About Dr. Laurie Lynn Southard Bs, Ms, Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LAURIE LYNN SOUTHARD BS, MS, DDS (NPI 1215054820) is an individual endodontics provider in Tulsa, Oklahoma, licensed in Oklahoma (5119) and active in the NPI registry since March 2007. She has opted out of Medicare through June 28, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Laurie Lynn Southard Bs, Ms, Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 28, 2016 through June 28, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TULSA, OK 74136
TULSA, OK 74136
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Laurie Southard's NPI number?
The NPI number for Laurie Southard is 1215054820. It was assigned to this individual provider in the NPPES registry on March 26, 2007.
Where is Laurie Southard located?
Laurie Southard practices at 5010 E 68th St Suite 104, Tulsa, OK 74136. The listed phone number is (918) 493-3880.
What is Laurie Southard's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.
Is Laurie Southard enrolled in Medicare?
No. Laurie Southard has opted out of Medicare through June 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Laurie Southard accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana list Laurie Southard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Laurie Southard was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Laurie Lynn Southard, BS, MS, DDS · NPI 1215054820
Endodontics provider in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since March 26, 2007.
## Identity
- **NPI:** 1215054820 (Entity type: Individual)
- **Enumerated:** March 26, 2007
- **Primary specialty:** Dentist - Endodontics · taxonomy 1223E0200X
- **State license:** 5119 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5010 E 68TH ST, SUITE 104, Tulsa, OK 74136-3323
- **Phone:** (918) 493-3880 · **Fax:** (918) 492-8564
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 28, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 8, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1215054820) · Data from the CMS NPPES public registry.