Active NPI
Dan D. Horton, M.D.
- Clinic/Center
- Lawton, OK
National Provider Identifier
1184600421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 10253
- Practice address
- 4417 West Gore Blvd.
Suite 6
Lawton, OK 73505-5978 - Phone
- (580) 353-3920
- Fax
- (580) 353-3936
- NPI assigned
- Dec 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10253 | OK | |
| Clinic/Center | 261Q00000X | 10253 | OK | Primary |
Addresses
Primary practice location
4417 West Gore Blvd.
Suite 6
Lawton, OK 73505-5978
Mailing address
4417 West Gore Blvd.
Suite 6
Lawton, OK 73505-5978
Phone (580) 353-3920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100089340A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1184600421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4417 WEST GORE BLVD.",
"address_2": "SUITE 6",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055978",
"telephone_number": "580-353-3920",
"fax_number": "580-353-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 WEST GORE BLVD.",
"address_2": "SUITE 6",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055978",
"telephone_number": "580-353-3920",
"fax_number": "580-353-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "DAN",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "10253",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "OK",
"license": "10253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100089340A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.