Organization Active NPI

David J. Drummond DDS, Inc.

  • Dentist
  • Lawton, OK
National Provider Identifier
1407268774
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4853 Issued in OK
Legal business name
DAVID J. DRUMMOND DDS, INC.
Practice address
4006 NW Cache Rd
Lawton, OK 73505-3634
Phone
(580) 355-0344
Fax
(580) 355-6271
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. David Joseph Drummond, DDSNPI 1720117419
Title
Owner
Phone
(580) 355-0344

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4853 OK Primary

Addresses

Primary practice location

4006 NW Cache Rd
Lawton, OK 73505-3634

Mailing address

4006 NW Cache Rd
Lawton, OK 73505-3634
Phone (580) 355-0344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140923002231 OK DME Supplier - Oral Surgery - Dentist 2668691676 Practice locations: Lawton, OK
O20170530000476 OK Part B Supplier - Clinic/Group Practice 2668691676 Receives reassigned benefits from 1 practitioner
Practice locations: Lawton, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1407268774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053634",
            "telephone_number": "580-355-0344",
            "fax_number": "580-355-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053634",
            "telephone_number": "580-355-0344",
            "fax_number": "580-355-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. DRUMMOND DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-355-0344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "4853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.