Active NPI
James V Dewhurst, DDS
- Dentist
- Perry, OK
National Provider Identifier
1528148277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4922
- Practice address
- 1606 W Fir St
Perry, OK 73077-5800 - Phone
- (580) 336-6500
- Fax
- (580) 336-6502
- NPI assigned
- Oct 17, 2006
- Last updated
- Jan 12, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4922 | OK | Primary |
| General Practice Dentistry | 1223G0001X | 4922 | OK |
Addresses
Primary practice location
1606 W Fir St
Perry, OK 73077-5800
Mailing address
1606 W Fir St
Perry, OK 73077-5800
Phone (580) 336-6500
Other practice location 1
113 E Oklahoma Ave
Guthrie, OK 73044-3242
Phone (405) 293-4743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100846170A | Medicaid | OK |
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 |
|---|---|---|---|
| 4922 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry Dental Group | Dentist | 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": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1528148277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 W FIR ST",
"city": "PERRY",
"state": "OK",
"postal_code": "730775800",
"telephone_number": "580-336-6500",
"fax_number": "580-336-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 W FIR ST",
"city": "PERRY",
"state": "OK",
"postal_code": "730775800",
"telephone_number": "580-336-6500",
"fax_number": "580-336-6502"
}
],
"practiceLocations": [
{
"address_1": "113 E Oklahoma Ave",
"address_purpose": "LOCATION",
"city": "Guthrie",
"state": "OK",
"postal_code": "730443242",
"country_code": "US",
"telephone_number": "405-293-4743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEWHURST",
"first_name": "JAMES",
"middle_name": "V",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "4922",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "4922",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100846170A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perry, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.