Christopher P Fagan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6280 Issued in OK

Practice address

423 N Van Buren St
Enid, OK 73703-4454

Phone

(580) 233-0043

NPI assigned

Jun 14, 2011

Last updated

Jun 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chris Fagan DDS PLLC

  dba Brush Pediatric & Family Dentistry

  • General Practice Dentistry
  • Enid, OK
  • NPI 1841375953
  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1457646879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034454",
            "telephone_number": "580-233-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034454",
            "telephone_number": "580-233-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evans Pharmacy, LLC (Evans Pharmacy Vital Care)
• Evans Pharmacy, LLC (Evans Pharmacy Vital Care)
• Evans Specialty Pharmacy
• F Clark Sauls, MD
• Facial Surgery Center PLLC
• Fairview Home Health LLC (Complete Home Health of Western Oklahoma)
• Faith Family Clinic PLLC
• Heather Falen, B.A., BHRS
• Family Eye & Vision Care (Andrew P Kraft O.D.)
• Family Medical Lab, Inc.

• Dentist in Enid, OK
• Providers in Enid, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.