Individual provider Active NPI

Kevin L. Layton, D.D.S.

  • General Practice Dentistry
  • Warr Acres, OK
National Provider Identifier
1477626406
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4933 Issued in OK
Practice address
5804 NW Expressway St
Warr Acres, OK 73132-5239
Phone
(405) 728-3300
Fax
(405) 728-5037
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4933 OK Primary

Addresses

Primary practice location

5804 NW Expressway St
Warr Acres, OK 73132-5239

Mailing address

5804 NW Expressway St
Warr Acres, OK 73132-5239
Phone (405) 728-3300

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
I20161107000450 OK Order and Referring Only - DentistPractitioner - Dentist 5597043968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4933OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kevin L. Layton, D.D.S. General Practice Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477626406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 NW EXPRESSWAY ST",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325239",
            "telephone_number": "405-728-3300",
            "fax_number": "405-728-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 NW EXPRESSWAY ST",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325239",
            "telephone_number": "405-728-3300",
            "fax_number": "405-728-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYTON",
        "first_name": "KEVIN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warr Acres, OK

Sources for this page

Verify at the official NPI Registry.