Active NPI
Entrust DPC PLLC
- Family Medicine Physician
- Fairview, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea E McEachern, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2254177 | Entrust DPC, PLLC | Certificate of waiver | Feb 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Fairview, OK
- NPI 1114105640
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
- County of Major Fairview School Dist 84
- Dentistry for Today, P.C.
- Raegan Dewilde
- Kaci Ranae Edwards
- Larry Shane Elliott
- Megan Leigh Ewing, APRN-CNP
- Fairview Family & Sports Chiropractic, P.C.
- Fairview Fellowship Home for Senior Citizens, Inc.
- Fairview Regional Medical Center
- Fairview Regional Medical Center Authority (Fairview Regional Medical Center)
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.