Active NPI
Dorthy Jean Maxey
- Private Vehicle
- Park Hill, OK
National Provider Identifier
1821293887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 27907 S Big Hollow Rd
Park Hill, OK 74451 - Phone
- (918) 457-4801
- Fax
- (918) 457-4801
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | OK | ||
| Private Vehicle | 347C00000X | OK | Primary |
Addresses
Primary practice location
27907 S Big Hollow Rd
Park Hill, OK 74451
Mailing address
27907 S Big Hollow Rd
Park Hill, OK 74451
Phone (918) 457-4801
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100668710A | OK | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| 100668710B | OK | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1821293887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27907 S BIG HOLLOW RD",
"city": "PARK HILL",
"state": "OK",
"postal_code": "74451",
"telephone_number": "918-457-4801",
"fax_number": "918-457-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27907 S BIG HOLLOW RD",
"city": "PARK HILL",
"state": "OK",
"postal_code": "74451",
"telephone_number": "918-457-4801",
"fax_number": "918-457-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXEY",
"first_name": "DORTHY",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "OK",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Hill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.