Organization Active NPI

Entrust DPC PLLC

  • Family Medicine Physician
  • Fairview, OK
National Provider Identifier
1841941887
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ENTRUST DPC PLLC
Practice address
917 N Main St
Fairview, OK 73737-1005
Phone
(580) 227-8647
Fax
(580) 603-8602
NPI assigned
Jan 11, 2022
Last updated
Oct 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Andrea E McEachern, DONPI 1114105640
Title
President/Medical Director
Phone
(580) 227-8647

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

917 N Main St
Fairview, OK 73737-1005

Mailing address

917 N Main St
Fairview, OK 73737-1005
Phone (580) 227-8647

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2254177Entrust DPC, PLLC917 N Main St, Fairview, OK 73737Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Locations

1425 N Main St
Ste 1
Fairview, OK 73737
Phone (580) 227-2088

Practitioners & affiliated clinicians

Practitioners 1

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": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1841941887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 N MAIN ST",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371005",
            "telephone_number": "580-227-8647",
            "fax_number": "580-603-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N MAIN ST",
            "city": "FAIRVIEW",
            "state": "OK",
            "postal_code": "737371005",
            "telephone_number": "580-227-8647",
            "fax_number": "580-603-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTRUST DPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "MCEACHERN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "580-227-8647",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.