Active NPI
Ross Lucas Forrester, D.M.D.
- Public Health Dentistry
- Eufaula, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- D009682
- Practice address
- 800 W Forrest Ave
Eufaula, OK 74432-3249 - Phone
- (918) 448-8399
- NPI assigned
- May 17, 2017
- Last updated
- May 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | D009682 | AZ | Primary |
Addresses
Primary practice location
800 W Forrest Ave
Eufaula, OK 74432-3249
Mailing address
P.O. Box 400
Okmulgee, OK 74447-3551
Phone (918) 448-8399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D009682 | AZ | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrester Family Dentistry, LLC | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients |
Locations
800 W Forrest Ave
Eufaula, OK 74432
Phone (918) 618-2460
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Dept 1467
Tulsa, OK 74182
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Creek Nation Health System
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
dba Creek Nation Community Hospital
- Family Medicine Physician
- Okemah, OK
- NPI 1467053173
TX
-
- General Practice Dentistry
- Eufaula, OK
- NPI 1174104103
-
dba Muscogee (Creek) Nation Physical Rehabilitation Center
- Rehabilitation Hospital
- Okmulgee, OK
- NPI 1891197224
-
dba Muscogee Healing and Recovery Center
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1073040358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 400",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744473551",
"telephone_number": "918-448-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W FORREST AVE",
"city": "EUFAULA",
"state": "OK",
"postal_code": "744323249",
"telephone_number": "918-448-8399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORRESTER",
"first_name": "ROSS",
"middle_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "AZ",
"license": "D009682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eufaula, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.