Active NPI
Christopher Eaton, DDS
- General Practice Dentistry
- Broken Arrow, OK
National Provider Identifier
1467076463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7308
- Practice address
- 735 E Kenosha St
Broken Arrow, OK 74012-2029 - Phone
- (918) 251-1521
- NPI assigned
- Jun 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | T-7308 | OK | |
| General Practice Dentistry | 1223G0001X | 7308 | OK | Primary |
Addresses
Primary practice location
735 E Kenosha St
Broken Arrow, OK 74012-2029
Mailing address
6901 S Tamarack Ave
Broken Arrow, OK 74011-1892
Phone (918) 407-4869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7308 | OK | MD | General Practice Dentistry |
| T-7308 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Dental Care of Oklahoma, PC | General Practice | Current | Accepting new patients |
Locations
765 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 251-1521
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.
-
- General Practice Dentistry
- Broken Arrow, OK
- NPI 1740468305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1467076463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 S TAMARACK AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740111892",
"telephone_number": "918-407-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 E KENOSHA ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122029",
"telephone_number": "918-251-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "CHRISTOPHER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-04",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "T-7308",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.