Active NPI
David E. Deason
- Dental Clinic/Center
- Yukon, OK
National Provider Identifier
1336314251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 3661
- Legal business name
- DAVID E. DEASON
- Practice address
- 415 E Main St Ste 4
Yukon, OK 73099-2259 - Phone
- (405) 354-4802
- Fax
- (405) 354-4803
- NPI assigned
- Apr 23, 2008
- Last updated
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Deason, D.D.S.
- Title
- Dentist
- Phone
- (405) 354-4802
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 3661 | OK | Primary |
Addresses
Primary practice location
415 E Main St Ste 4
Yukon, OK 73099-2259
Mailing address
415 E Main St Ste 4
Yukon, OK 73099-2259
Phone (405) 354-4802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376693267 | Other | OK | NPI TYPE 1 |
National Provider Directory
National Provider DirectoryLocations
415 E Main St
Ste 4
Yukon, OK 73099
Phone (405) 354-4802
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Yukon, OK
- NPI 1376693267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1336314251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E MAIN ST STE 4",
"city": "YUKON",
"state": "OK",
"postal_code": "730992259",
"telephone_number": "405-354-4802",
"fax_number": "405-354-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E MAIN ST STE 4",
"city": "YUKON",
"state": "OK",
"postal_code": "730992259",
"telephone_number": "405-354-4802",
"fax_number": "405-354-4803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID E. DEASON",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "DEASON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "405-354-4802",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "OK",
"license": "3661",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1376693267",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.