KIMIKO AND TEDESCO LLC
NPI 1396497319
Dermatology - Procedural Dermatology in Tulsa, OK
NPI Status: Active since January 20, 2022
Contact Information
11911 S OXFORD AVE STE 200
TULSA, OK
ZIP 74137
Phone: (918) 600-0026
Fax: (918) 600-0690
- Organization
- Dermatology
- Procedural Dermatology
- Accepts Insurance
About KIMIKO AND TEDESCO LLC
This page provides the complete NPI Profile along with additional information for Kimiko And Tedesco Llc, a provider established in Tulsa, Oklahoma operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1396497319 assigned on January 2022. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated one year ago. Kimiko And Tedesco Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1396497319
- Provider Legal Name
- KIMIKO AND TEDESCO LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 11911 S OXFORD AVE STE 200 TULSA, OK 74137
- Location Phone
- (918) 600-0026
- Location Fax
- (918) 600-0690
- Mailing Address
- 11911 S OXFORD AVE STE 200 TULSA, OK 74137
- Mailing Phone
- (918) 600-0026
- Mailing Fax
- (918) 600-0690
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-20-2022
- Last Update Date
- 09-09-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2082S0099X | Allopathic & Osteopathic Physicians | Plastic Surgery | |
| 2 | 2086S0122X | Allopathic & Osteopathic Physicians | Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1790951747 | OTHER (01) | OK | COMMUNITY CARE |
| 1790951747 | MEDICAID (05) | OK | |
| 1790951747 | OTHER (01) | OK | PHCS |
| 1790951747 | OTHER (01) | OK | AETNA |
| 1790951747 | OTHER (01) | OK | VA |
| 1790951747 | OTHER (01) | OK | CIGNA |
| 1790951747 | OTHER (01) | OK | UNITED HEALTHCARE |
| 1790951747 | OTHER (01) | OK | BLUE CROSS BLUE SHIELD |
| 1790951747 | OTHER (01) | OK | PREFERED COMMUNITY CHOICE |
| 1790951747 | OTHER (01) | OK | GLOBAL HEALTH |
| 1790951747 | OTHER (01) | OK | HEALTH CHOICE |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396497319, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
TULSA, OK 74137
TULSA, OK 74137
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396497319, enumerated as an "organization" on January 20, 2022.
The provider is located at 11911 S OXFORD AVE STE 200 TULSA, OK 74137 and the phone number is (918) 600-0026.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medicare,. Please consult your insurance carrier or call the provider to verify.
