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LARRY DAVID LANDER DDS, MS
NPI 1801809629
Dentist - Oral and Maxillofacial Surgery in Tulsa, OK

Active since August 14, 2006Opted out of Medicare · through Jul 1, 2027
6132 E 61ST ST, TULSA, OK 74136(918) 494-8634(918) 494-8636 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry David Lander Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY DAVID LANDER DDS, MS (NPI 1801809629) is an individual oral and maxillofacial surgery provider in Tulsa, Oklahoma, licensed in Oklahoma (3818) and active in the NPI registry since August 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801809629
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameLARRY DAVID LANDERCredential: DDS, MS
Location Address6132 E 61ST STTulsa, OK 74136-2117
Mailing Address3111 S Columbia CirTulsa, OK 74105-2329 · (918) 743-1809
Phone(918) 494-8634
Fax(918) 494-8636
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801809629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OK · 3818
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6132 E 61ST ST, Tulsa, OK 74136
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Other Identifiers 1

Medicare UPINT75411OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Larry David Lander Dds, Ms 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 July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DONALD TODD JOHNSON D.D.S.
Dentist (Oral and Maxillofacial Surgery)
6132 E 61ST ST
TULSA, OK 74136
Tulsa County (918) 494-8634
LARRY D. LANDER D.D.S.,M.S. INC
Dentist (Oral and Maxillofacial Surgery)
6132 E 61ST ST
TULSA, OK 74136
Tulsa County (918) 494-8634

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 Larry Lander's NPI number?

The NPI number for Larry Lander is 1801809629. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Larry Lander located?

Larry Lander practices at 6132 E 61st St, Tulsa, OK 74136. The listed phone number is (918) 494-8634.

What is Larry Lander's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Larry Lander enrolled in Medicare?

No. Larry Lander has opted out of Medicare through July 1, 2027. 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 Larry Lander accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Larry Lander 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 Larry Lander was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.