Individual provider Active NPI

Eric J Mead, D.D.S

  • General Practice Dentistry
  • Yukon, OK
National Provider Identifier
1366855157
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6596 Issued in OK
Practice address
827 N Cemetery Rd Ste 6
Yukon, OK 73099-9463
Phone
(405) 652-1222
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6596 OK Primary

Addresses

Primary practice location

827 N Cemetery Rd Ste 6
Yukon, OK 73099-9463

Mailing address

827 N Cemetery Rd Ste 6
Yukon, OK 73099-9463
Phone (405) 652-1222

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025000428 OK Order and Referring Only - DentistPractitioner - Dentist 8921386038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6596OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Today - Dentures and Implants PLLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

827 N Cemetery Rd
Ste 6
Yukon, OK 73099
Phone (405) 652-1222

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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1366855157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N CEMETERY RD STE 6",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999463",
            "telephone_number": "405-652-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N CEMETERY RD STE 6",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999463",
            "telephone_number": "405-652-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.