Individual provider Active NPI

Matthew Guffey, DDS

  • General Practice Dentistry
  • Yukon, OK
National Provider Identifier
1740633346
Registry record updated Oct 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6827 Issued in OK
Practice address
820 S Mustang Rd
Yukon, OK 73099-6767
Phone
(405) 577-2444
NPI assigned
Jul 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2019

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 6827 OK Primary

Addresses

Primary practice location

820 S Mustang Rd
Yukon, OK 73099-6767

Mailing address

3109 Birch Bark LN
Oklahoma City, OK 73120-5357
Phone (405) 651-7350

Other practice location 1

8001 N MacArthur Blvd
Oklahoma City, OK 73132-4714
Phone (405) 728-7171

Other identifiers 1

IdentifierTypeStateIssuer
200658620MedicaidOK

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6827OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Okc Dentistry Associates CurrentSince Oct 13, 2019 Accepting new patients
Patrick T. Cohenour, DDS, PC General Practice Past Accepting new patients
Aaron T Cohenour, DDS PLLC Past Accepting new patients
Rahill & Simon, LLC General Practice Past Accepting new patients

Locations

8001 N MacArthur Blvd
Oklahoma City, OK 73132
Phone (405) 728-7171

Organizations & group practices 4

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570320000000",
    "number": "1740633346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 BIRCH BARK LN",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205357",
            "telephone_number": "405-651-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MUSTANG RD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996767",
            "telephone_number": "405-577-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731324714",
            "country_code": "US",
            "telephone_number": "405-728-7171",
            "fax_number": "405-720-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUFFEY",
        "first_name": "MATTHEW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2019-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200658620",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; 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.