Dallas Essary – Local Education Agency (LEA)

Key facts

NPI: 1710348461
Entity type: Individual (NPI type 1)
Primary specialty: Local Education Agency (LEA) 251300000X
Practice address: 1801 W Locust St
Stilwell, OK 74960-3259
Phone: (918) 696-7276
NPI assigned: Mar 9, 2016
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Stilwell Public Schools Local Education Agency (LEA) · Stilwell, OK · NPI 1730548322

NPD (past) Authorized official LOCAL EDUCATION AGENCY (LEA)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Stilwell Public Schools	Local Education Agency (Lea)	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Local Education Agency (LEA)	251300000X			Yes

Addresses

Primary practice location

1801 W Locust St
Stilwell, OK 74960-3259

Mailing address

1801 W Locust St
Stilwell, OK 74960-3259
Phone (918) 696-7276

Other identifiers

Identifier	Type	State	Issuer
100688200A	Medicaid	OK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 9, 2016.

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1710348461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W LOCUST ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603259",
            "telephone_number": "918-696-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W LOCUST ST",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603259",
            "telephone_number": "918-696-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSARY",
        "first_name": "DALLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100688200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stilwell, OK

All providers in Stilwell, OK · Local Education Agency (LEA) in Oklahoma

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.