Individual provider Active NPI

David Scott Scheuerman, D.D.S.

  • Dentist
  • Tulsa, OK
National Provider Identifier
1003220088
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6634 Issued in OK
Practice address
4955 S Peoria Ave
Tulsa, OK 74105-4629
Phone
(918) 895-6902
Fax
(918) 895-6902
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6634 OK Primary

Addresses

Primary practice location

4955 S Peoria Ave
Tulsa, OK 74105-4629

Mailing address

4955 S Peoria Ave
Tulsa, OK 74105-4629
Phone (918) 895-6568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161111000652 OK Practitioner - Oral Surgery 5092094243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Comprehensive Health Services, Inc CurrentSince Nov 14, 2016 Accepting new patients
Morton Comprehensive Health Services, Inc Current Accepting new patients
Morton Comprehensive Health Services, Inc CurrentSince Nov 14, 2016 Accepting new patients

Locations

207 S Locust St
Nowata, OK 74048
Phone (918) 295-6104

1334 N Lansing Ave
Tulsa, OK 74106

Networks

  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Interoperability endpoints

  • Direct secure messaging: david.scheuerman@mchs.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGGIBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGGIBD/Endpoint/AGGIBD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1003220088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741054629",
            "telephone_number": "918-895-6568",
            "fax_number": "918-895-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741054629",
            "telephone_number": "918-895-6902",
            "fax_number": "918-895-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEUERMAN",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.