Active NPI
Caleb Brewer
- Dentist
- Healdton, OK
National Provider Identifier
1649653536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6758
- Practice address
- 10587 Highway 76
Healdton, OK 73438-1711 - Phone
- (580) 229-0407
- Fax
- (580) 229-0418
- NPI assigned
- Jul 9, 2015
- Last updated
- Jul 9, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6758 | OK | Primary |
Addresses
Primary practice location
10587 Highway 76
Healdton, OK 73438-1711
Mailing address
10587 Highway 76
Healdton, OK 73438-1711
Phone (580) 229-0407
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1649653536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10587 HIGHWAY 76",
"city": "HEALDTON",
"state": "OK",
"postal_code": "734381711",
"telephone_number": "580-229-0407",
"fax_number": "580-229-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10587 HIGHWAY 76",
"city": "HEALDTON",
"state": "OK",
"postal_code": "734381711",
"telephone_number": "580-229-0407",
"fax_number": "580-229-0418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "CALEB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-09",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Healdton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.