Organization Active NPI

Mark a Dawkins MD PC

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1710198569
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19539 Issued in OK
Legal business name
MARK A DAWKINS MD PC
Practice address
13174 N Macarthur Blvd
Oklahoma City, OK 73142-3017
Phone
(405) 721-5555
Fax
(405) 470-7093
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark A Dawkins, M.D.NPI 1114909405
Title
Owner/Physician
Phone
(405) 721-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 19539 OK Primary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X

Addresses

Primary practice location

13174 N Macarthur Blvd
Oklahoma City, OK 73142-3017

Mailing address

Dept 96-0317
Oklahoma City, OK 73196-0317
Phone (405) 521-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050722000680 OK Part B Supplier - Clinic/Group Practice 6800823667 Receives reassigned benefits from 5 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

Oklahoma City, OK 73196

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1710198569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 96-0317",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960317",
            "telephone_number": "405-521-1969",
            "fax_number": "405-521-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13174 N MACARTHUR BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731423017",
            "telephone_number": "405-721-5555",
            "fax_number": "405-470-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A DAWKINS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "405-721-5555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "19539",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.