Organization Active NPI

Stephen G. McKeever, DDS, Inc.

  • Exclusive Provider Organization
  • Enid, OK
National Provider Identifier
1801062237
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
3026 Issued in OK
Legal business name
STEPHEN G. MCKEEVER, DDS, INC.
Practice address
1420 W Owen K Garriott Rd
Building 3
Enid, OK 73703-5751
Phone
(580) 233-1420
Fax
(580) 233-2908
NPI assigned
May 6, 2008
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Stephen G McKeever, DDSNPI 1891787461
Title
Owner
Phone
(580) 233-1420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 3026 OK Primary

Addresses

Primary practice location

1420 W Owen K Garriott Rd
Building 3
Enid, OK 73703-5751

Mailing address

PO Box 10099
Enid, OK 73706-0099
Phone (580) 233-1420

Other identifiers 1

IdentifierTypeStateIssuer
100087470AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1420 W Owen K Garriott Rd
Ste 3
Enid, OK 73703
Phone (580) 233-1420

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1801062237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10099",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737060099",
            "telephone_number": "580-233-1420",
            "fax_number": "580-233-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W OWEN K GARRIOTT RD",
            "address_2": "BUILDING 3",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035751",
            "telephone_number": "580-233-1420",
            "fax_number": "580-233-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN G. MCKEEVER, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "MCKEEVER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-233-1420",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OK",
            "license": "3026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100087470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

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