Organization Active NPI

S. P, McIntosh, DDS, PLLC

  • Dental Clinic/Center
  • Eufaula, OK
National Provider Identifier
1760656771
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
03772 Issued in OK
Legal business name
S. P, MCINTOSH, DDS, PLLC
Practice address
900 Birkes Rd
Eufaula, OK 74432-4023
Phone
(918) 689-2583
Fax
(918) 689-1838
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Stanley P McIntosh, DDSNPI 1952352452
Title
Owner
Phone
(918) 689-2583

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 03772 OK Primary

Addresses

Primary practice location

900 Birkes Rd
Eufaula, OK 74432-4023

Mailing address

PO Box 899
Eufaula, OK 74432-0899
Phone (918) 689-2583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260618002118 OK Part B Supplier - Clinic/Group Practice 6507338787 Receives reassigned benefits from 1 practitioner
Practice locations: Eufaula, OK

National Provider Directory

National Provider Directory

Locations

900 Birkes Rd
Eufaula, OK 74432
Phone (918) 689-2583

Practitioners & affiliated clinicians

Practitioners 2

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1760656771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744320899",
            "telephone_number": "918-689-2583",
            "fax_number": "918-689-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BIRKES RD",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744324023",
            "telephone_number": "918-689-2583",
            "fax_number": "918-689-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. P, MCINTOSH, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-689-2583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "03772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.