Individual provider Active NPI

Seth Michael Evetts, DDS

  • General Practice Dentistry
  • Tuttle, OK
National Provider Identifier
1124138391
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5861 Issued in OK
Practice address
7 Cedar Springs Dr
Tuttle, OK 73089-7929
Phone
(405) 381-2365
Fax
(405) 381-2366
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 5861 OK Primary

Addresses

Primary practice location

7 Cedar Springs Dr
Tuttle, OK 73089-7929

Mailing address

7 Cedar Springs Dr
Tuttle, OK 73089-7929
Phone (405) 381-2365

Other identifiers 1

IdentifierTypeStateIssuer
1868408OtherUNITED CONCORDIA

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
I20180511002260 OK Order and Referring Only - DentistPractitioner - Dentist 9234493545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5861OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard M Freeman DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1124138391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CEDAR SPRINGS DR",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730897929",
            "telephone_number": "405-381-2365",
            "fax_number": "405-381-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CEDAR SPRINGS DR",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730897929",
            "telephone_number": "405-381-2365",
            "fax_number": "405-381-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVETTS",
        "first_name": "SETH",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1868408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuttle, OK

Sources for this page

Verify at the official NPI Registry.