Active NPI
Danilo E. Oliveros, M.D.
- General Practice Physician
- Anadarko, OK
National Provider Identifier
1215023627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21408020
- Practice address
- 115 NE Oldtown Drive
Anadarko, OK 73005-0828 - Phone
- (405) 247-2458
- Fax
- (405) 247-6653
- NPI assigned
- Oct 4, 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 Physician | 208D00000X | 21408020 | WI | Primary |
Addresses
Primary practice location
115 NE Oldtown Drive
Anadarko, OK 73005-0828
Mailing address
PO Box 828
Anadarko, OK 73005-0828
Phone (405) 247-2458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9121408 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21408020 | WI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anadarko Indian Health Center | 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.
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1215023627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 828",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730050828",
"telephone_number": "405-247-2458",
"fax_number": "405-247-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NE OLDTOWN DRIVE",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730050828",
"telephone_number": "405-247-2458",
"fax_number": "405-247-6653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVEROS",
"first_name": "DANILO",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WI",
"license": "21408020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9121408",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anadarko, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.