MEDICARE: SHAHSAWER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223D0001X	Public Health Dentistry

General Provider Information

NPI Number	:	1568314417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAHSAWER, LLC

Provider Business Mailing Address
First Line	:	4715 E 91ST ST STE 110
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-2847
Country	:	US
Telephone Number	:	918-574-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	4715 E 91ST ST STE 110
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-2847
Country	:	US
Telephone Number	:	918-574-1400
Fax Number	:

Authorized Official
Title or Position	:	HUMAN RESOURCES
Name	:	SHAYLA MOORE
Credential	:
Telephone Number	:	402-505-6843

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

Similar Medicare Providers

1972802254 — ERIC MICHAEL CANADAY D.O.
Practice Location Address:

2488 E 81ST ST STE 2000
TULSA, OK
74137-4224

Practice Phone: 918-592-9020
Practice Fax:

1205147998 — MATTHEW L CARMICHAEL D.O.
Practice Location Address:

2488 E 81ST ST STE 2000
TULSA, OK
74137-4224

Practice Phone: 918-502-3939
Practice Fax:

1881629079 — DR. THOMAS KENTON DENMARK M.D.
Practice Location Address:

2488 E 81ST ST STE 2000
TULSA, OK
74137-4224

Practice Phone: 918-592-9020
Practice Fax: 918-779-0219

1598484602 — HALEY EILEEN RAGSDALE PHARMD, RPH
Practice Location Address:

2019 E 81ST ST
TULSA, OK
74137-4232

Practice Phone: 918-496-0053
Practice Fax:

1306343322 — TIFFANY PAULINE WHIPPLE DO
Practice Location Address:

2448 E 81ST ST STE 1100
TULSA, OK
74137-4205

Practice Phone: 918-505-3400
Practice Fax: 918-508-7070

1164180816 — PHENG CING APRN FNP-C
Practice Location Address:

12028 S NORWOOD AVE STE 100
TULSA, OK
74137-5545

Practice Phone: 918-819-8164
Practice Fax: 918-205-6770

Directions to “SHAHSAWER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.