Gary T. Brewer

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GARY T. BREWER

Practice address

504 E Main St
Healdton, OK 73438-1801

Phone

(580) 229-0407

Fax

(580) 229-0418

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Thomas Brewer, DDSNPI 1790840536

Title

Owner

Phone

(580) 229-0407

Specialties & licenses 1

Addresses

Other names 1

• Advanced Family Dentistry Doing business as

Practitioners 1

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

• Gary Thomas Brewer, DDS

  • General Practice Dentistry
  • Healdton, OK
  • NPI 1790840536

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1730222811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E MAIN ST",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734381801",
            "telephone_number": "580-229-0407",
            "fax_number": "580-229-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E MAIN ST",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734381801",
            "telephone_number": "580-229-0407",
            "fax_number": "580-229-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY T. BREWER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-229-0407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eck Drug Co Inc
• Eck Drug Co Inc
• Sandra Eck, D.PH., M.B.A.
• Equity Funding LLC
• Danielle Elise Floyd
• Jordan Harvey
• Healdton Municipal Hospital
• Healdton Municipal Hospital (SNF)
• Cassandra Jorie Ketchum
• KND Enterprises LLC

• All providers in Healdton, OK
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.