Individual provider Active NPI

Dennis Eugene Deakins, MD MPH PHD

  • Specialist
  • Grove, OK
National Provider Identifier
1760772008
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10867 Issued in OK
Practice address
63800 E 300 Rd
Grove, OK 74344-7991
Phone
(918) 786-4179
Fax
(918) 786-4179
NPI assigned
Apr 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10867 OK Primary

Addresses

Primary practice location

63800 E 300 Rd
Grove, OK 74344-7991

Mailing address

63800 E 300 Rd
Grove, OK 74344-7991
Phone (918) 786-4179

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10867OKMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Healthcare of Oklahoma Past Accepting new patients
Aviation Medicine of Oklahoma Past Accepting new patients

Organizations & group practices 2

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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1760772008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63800 E 300 RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447991",
            "telephone_number": "918-786-4179",
            "fax_number": "918-786-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63800 E 300 RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447991",
            "telephone_number": "918-786-4179",
            "fax_number": "918-786-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAKINS",
        "first_name": "DENNIS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD  MPH  PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "10867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.