Individual provider Active NPI

Erin M Sexson, DDS

  • General Practice Dentistry
  • Drumright, OK
National Provider Identifier
1063616274
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5953 Issued in OK
Practice address
1226 W Broadway St
Drumright, OK 74030-5826
Phone
(918) 352-3312
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5953 OK Primary

Addresses

Primary practice location

1226 W Broadway St
Drumright, OK 74030-5826

Mailing address

PO Box 712
Drumright, OK 74030-0712
Phone (918) 352-3312

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
I20160310001180 OK Order and Referring Only - DentistPractitioner - Dentist 6406152867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5953OKMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1063616274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712",
            "city": "DRUMRIGHT",
            "state": "OK",
            "postal_code": "740300712",
            "telephone_number": "918-352-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 W BROADWAY ST",
            "city": "DRUMRIGHT",
            "state": "OK",
            "postal_code": "740305826",
            "telephone_number": "918-352-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXSON",
        "first_name": "ERIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drumright, OK

Sources for this page

Verify at the official NPI Registry.