Alan Keith Wilcoxson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1801 Blackard LN
Ponca City, OK 74604-3512

Phone

(405) 714-6010

NPI assigned

Oct 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1114569738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BLACKARD LN",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746043512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BLACKARD LN",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746043512",
            "telephone_number": "405-714-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOXSON",
        "first_name": "ALAN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Quint Whitefield, DDS
• Quint Allen Whitefield, D.D.S.
• Katrina Wicker
• Gary Earl Wilburn
• Aaron Paul Wilcox, D.O.
• Williams Medical Group Practice, LLC
• Andre Williams
• Christine E Williams, CRNA
• James R. Williams, M.D.
• Joleta Williams, LPC-C U/S

• Peer Specialist in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.