Grant Richard Detten, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

6969 Issued in OK

Practice address

1710 W 3Rd St Ste 100
Elk City, OK 73644-5160

Phone

(580) 339-7540

Fax

(580) 225-2373

NPI assigned

Apr 29, 2019

Last updated

Dec 9, 2024By 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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Oklahoma State University College of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farmers Union Hospital AssociationGroup PAC ID 7517949415, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Plains Home Care Home health agency, Elk City, OK, CCN 377418
• Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Farmers Union Hospital Association

  dba Great Plains Regional Medical Center

  • General Acute Care Hospital
  • Elk City, OK
  • NPI 1184639122
  Medicare reassignment Care Compare group NPD
• GRD Leasing LLC

  dba Dr. Detten

  • Orthopaedic Surgery Physician
  • Midwest City, OK
  • NPI 1245120401
  Medicare reassignment NPD Authorized official
• Farmers Union Hospital Association

  dba Great Plains Pat Wall Clinic

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1114421492
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Farmers Union Hospital Association

  dba Great Plains Medical Clinic

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1023512308

  Hospital

  Care Compare affiliation
• Farmers Union Hospital Association

  dba Great Plains Pat Wall Clinic

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1114421492

  Hospital

  Care Compare affiliation
• Farmers Union Hospital Association

  dba Great Plains Regional Medical Center

  • General Acute Care Hospital
  • Elk City, OK
  • NPI 1184639122
  Care Compare affiliation
• Farmers Union Hospital Association

  dba Great Plains Home Health

  • Home Health Agency
  • Elk City, OK
  • NPI 1609882539
  Care Compare affiliation

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1568026227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST STE 100",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445160",
            "telephone_number": "580-339-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST STE 100",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445160",
            "telephone_number": "580-339-7540",
            "fax_number": "580-225-2373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10824 Highway 34",
            "address_purpose": "LOCATION",
            "city": "Elk City",
            "state": "OK",
            "postal_code": "736449413",
            "country_code": "US",
            "telephone_number": "405-979-7859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DETTEN",
        "first_name": "GRANT",
        "middle_name": "RICHARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "6969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keeli Ann Denney, BHCM-I
• Linda Denney
• Skylar Denning, PTA
• Erick Charles Derocher, D.O.
• Drew Detherow
• Mandy Colleen Dillard
• Diversified Family Services Inc
• Salena A Dixon, ARNP
• Doctors Bintz & Ellis
• Silas Dodgen

• Orthopaedic Surgery Physician in Elk City, OK
• Providers in Elk City, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.