Steve Ralph Faulk, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4784 Issued in OK

Practice address

2828 Parklawn Dr
Suite 7
Midwest City, OK 73110-4216

Phone

(405) 732-2660

Fax

(405) 732-3199

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Epic Dental PLLC

  • General Practice Dentistry
  • Midwest City, OK
  • NPI 1013591916
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1285674390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 PARKLAWN DR",
            "address_2": "SUITE 7",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104216",
            "telephone_number": "405-732-2660",
            "fax_number": "405-732-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 PARKLAWN DR",
            "address_2": "SUITE 7",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104216",
            "telephone_number": "405-732-2660",
            "fax_number": "405-732-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK",
        "first_name": "STEVE",
        "middle_name": "RALPH",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joelisha Ray'Von Fairbanks, DOULA
• Family Forward, Inc.
• Family Medicine of Midwest City, LLC
• Bethany Farley, RBT
• Jonathan Farmer
• Britney Fawl, PHARMD
• Angela Teressa Fay, SLP
• Fayyaz H. Hashmi, M.D., PC
• Kasha Featherstone
• Kasey Felker

• General Practice Dentistry in Midwest City, OK
• Providers in Midwest City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.

Verify at the official NPI Registry.