Chris Fagan DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6280 Issued in OK

Legal business name

CHRIS FAGAN DDS PLLC

Doing business as

Brush Pediatric & Family Dentistry

Practice address

423 N Van Buren St
Enid, OK 73703-4454

Phone

(580) 233-0043

Fax

(580) 233-8571

NPI assigned

Oct 26, 2006

Last updated

Jun 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chris P Fagan, DDS, PLLC

Title

General Dentist/Owner

Phone

(580) 233-0043

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brush Pediatric & Family Dentistry Doing business as

Locations

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.

• Christopher P Fagan, D.D.S.

  • Dentist
  • Enid, OK
  • NPI 1457646879
  NPD (past)
• Gary Everett Whiteside, D.D.S.

  • General Practice Dentistry
  • Enid, OK
  • NPI 1568464113
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1841375953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034454",
            "telephone_number": "580-233-0043",
            "fax_number": "580-233-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N VAN BUREN ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034454",
            "telephone_number": "580-233-0043",
            "fax_number": "580-233-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS FAGAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "580-233-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PLLC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200047990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brush Pediatric & Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chisholm Public School
• Tami Michele Chitwood, LPC,LADC,SAP
• Choice Hospice of Oklahoma LLC (Choice Hospice)
• Choices Institute
• Choices Institute
• Christian Counseling Ministry Inc
• Jadyn Rey Christiansen
• Kimberly Elaine Christopher, MCP, LPC CANDIDATE
• Natalie Anne Ciavolino, PA-C
• Rebecca L Claborn

• General Practice Dentistry in Enid, OK
• Providers in Enid, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.