Dale Coulson Huntington

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7709 Issued in OK

Practice address

562 S Elliott St
Pryor, OK 74361-6411

Phone

(918) 824-8000

NPI assigned

Apr 24, 2021

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chuntington881195@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ahs Pryor Hospital, LLC

  dba Utica Park Clinic Elliott

  • Rural Health Clinic/Center
  • Pryor, OK
  • NPI 1134632037
  NPD (past)
• Ahs Pryor Hospital, LLC

  dba Hillcrest Hospital Pryor

  • General Acute Care Hospital
  • Pryor, OK
  • NPI 1780125005
  NPD (past)

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

{
    "created_epoch": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1700468279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 S ELLIOTT ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743616411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 S ELLIOTT ST",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743616411",
            "telephone_number": "918-824-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTINGTON",
        "first_name": "DALE",
        "middle_name": "COULSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-24",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Michael Howell, O.D.
• Kathryn C Howell
• Donald Denver Hudson
• Mike Hughes
• Carin Hugley
• Sarah Hutton
• Sydney Lashea Hux, PEER SPECIALIST
• Integris Baptist Regional Health Center (Miami Foot and Ankle Clinic)
• Beige Jackson
• Crystel Jackson

• Family Medicine Physician in Pryor, OK
• Providers in Pryor, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.