Active NPI
Keith Trevor Paskett, DMD, MD, MBA
- Oral and Maxillofacial Surgery (Dentist)
- Edmond, OK
National Provider Identifier
1649777343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 245
- Practice address
- 18001 N Western Ave Ste 106
Edmond, OK 73012-9135 - Phone
- (405) 256-3446
- NPI assigned
- Apr 9, 2018
- Last updated
- Jan 3, 2025
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 245 | OK | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2025000173 | MO |
Addresses
Primary practice location
18001 N Western Ave Ste 106
Edmond, OK 73012-9135
Mailing address
18001 N Western Ave Ste 106
Edmond, OK 73012-9135
Phone (405) 256-3446
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
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025000173 | MO | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1649777343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18001 N WESTERN AVE STE 106",
"city": "EDMOND",
"state": "OK",
"postal_code": "730129135",
"telephone_number": "405-256-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18001 N WESTERN AVE STE 106",
"city": "EDMOND",
"state": "OK",
"postal_code": "730129135",
"telephone_number": "405-256-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASKETT",
"first_name": "KEITH",
"middle_name": "TREVOR",
"name_prefix": "Dr.",
"credential": "DMD, MD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-09",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OK",
"license": "245",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "2025000173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.