Organization Active NPI

Debra a. Eaton

  • Dentist
  • Chickasha, OK
National Provider Identifier
1124239801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5479 Issued in OK
Legal business name
DEBRA A. EATON
Practice address
228 W Chickasha Ave
Suite 503
Chickasha, OK 73018-2669
Phone
(405) 224-6581
Fax
(405) 224-3292
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Debra Ann Eaton, DDS
Title
President
Phone
(405) 224-6581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5479 OK Primary

Addresses

Primary practice location

228 W Chickasha Ave
Suite 503
Chickasha, OK 73018-2669

Mailing address

228 W Chickasha Ave
Suite 503
Chickasha, OK 73018-2669
Phone (405) 224-6581

National Provider Directory

National Provider Directory

Locations

228 W Chickasha Ave
Ste 503
Chickasha, OK 73018
Phone (405) 224-6581

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124239801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W CHICKASHA AVE",
            "address_2": "SUITE 503",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182669",
            "telephone_number": "405-224-6581",
            "fax_number": "405-224-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W CHICKASHA AVE",
            "address_2": "SUITE 503",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182669",
            "telephone_number": "405-224-6581",
            "fax_number": "405-224-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA A. EATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-224-6581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.