Active NPI
Richard Murry Freeman, DDS
- General Practice Dentistry
- Moore, OK
National Provider Identifier
1184734352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5546
- Practice address
- 500 N Eastern Ave
Moore, OK 73160 - Phone
- (405) 912-3300
- Fax
- (405) 912-2278
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5546 | OK | Primary |
Addresses
Primary practice location
500 N Eastern Ave
Moore, OK 73160
Mailing address
500 N Eastern Ave
Moore, OK 73160
Phone (405) 912-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1338770 | Other | UNITED 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161116002465 | OK | Order and Referring Only - Dentist | 4688953557 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Moore, OK
- NPI 1114912649
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": "1183852800000",
"number": "1184734352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N EASTERN AVE",
"city": "MOORE",
"state": "OK",
"postal_code": "73160",
"telephone_number": "405-912-3300",
"fax_number": "405-912-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N EASTERN AVE",
"city": "MOORE",
"state": "OK",
"postal_code": "73160",
"telephone_number": "405-912-3300",
"fax_number": "405-912-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "RICHARD",
"middle_name": "MURRY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "5546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1338770",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.