Individual provider Active NPI

David Joseph Drummond, D.D.S.

  • General Practice Dentistry
  • Lawton, OK
National Provider Identifier
1720117419
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4853 Issued in OK
Practice address
4006 NW Cache Rd
Lawton, OK 73505-3634
Phone
(580) 355-0344
Fax
(580) 355-6271
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4853 OK Primary

Addresses

Primary practice location

4006 NW Cache Rd
Lawton, OK 73505-3634

Mailing address

137 NW 36TH St
Lawton, OK 73505-6120
Phone (580) 355-6868

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170530000646 OK Practitioner - Dentist 7315197076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4853OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Drummond DDS, Inc. CurrentSince Feb 18, 2017 Accepting new patients

Locations

4006 NW Cache Rd
Lawton, OK 73505
Phone (580) 355-0344

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720117419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 NW 36TH ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056120",
            "telephone_number": "580-355-6868",
            "fax_number": "580-355-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053634",
            "telephone_number": "580-355-0344",
            "fax_number": "580-355-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.