Individual provider Active NPI

Steven Mark Vincent, D.D.S.

  • Dentist
  • Mustang, OK
National Provider Identifier
1023000114
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4534 Issued in OK
Practice address
1100 N Mustang Rd
Mustang, OK 73064-7200
Phone
(405) 376-2485
Fax
(405) 376-2024
NPI assigned
Aug 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4534 OK Primary

Addresses

Primary practice location

1100 N Mustang Rd
Mustang, OK 73064-7200

Mailing address

1100 N Mustang Rd
Mustang, OK 73064-7200
Phone (405) 376-2485

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
I20160127001178 OK Order and Referring Only - DentistPractitioner - Dentist 9436452315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4534OKMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023000114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730647200",
            "telephone_number": "405-376-2485",
            "fax_number": "405-376-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MUSTANG RD",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730647200",
            "telephone_number": "405-376-2485",
            "fax_number": "405-376-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "4534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

Verify at the official NPI Registry.