NPIMap

Individual provider Active NPI

Dennis Ray Whitehouse DO

  • Family Medicine Physician
  • Pauls Valley, OK
National Provider Identifier
1306956156
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3608 Issued in OK
Practice address
415 W Guy Ave
Pauls Valley, OK 73075-3200
Phone
(405) 238-1170
Fax
(405) 238-9342
NPI assigned
Aug 30, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3608 OK Primary

Addresses

Primary practice location

415 W Guy Ave
Pauls Valley, OK 73075-3200

Mailing address

415 W Guy Ave
Pauls Valley, OK 73075-3200
Phone (405) 238-1170

Other identifiers 1

IdentifierTypeStateIssuer
100090420BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126001073 OK Practitioner - Family Practice 1153353743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions37
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3608OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Jan 8, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients
Washita Valley Living Center, Inc Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

415 W Guy Ave
Pauls Valley, OK 73075
Phone (405) 238-1170

Interoperability endpoints

  • Direct secure messaging: dwhitehouse976047@directc.mercy.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1790640000000",
    "number": "1306956156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GUY AVE",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753200",
            "telephone_number": "405-238-1170",
            "fax_number": "405-238-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GUY AVE",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753200",
            "telephone_number": "405-238-1170",
            "fax_number": "405-238-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHOUSE DO",
        "first_name": "DENNIS",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090420B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pauls Valley, OK

Sources for this page

Verify at the official NPI Registry.