Individual provider Active NPI

Dustin D Eck, DO

  • Family Medicine Physician
  • Durant, OK
National Provider Identifier
1861044851
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0219R Issued in OK
Practice address
1600 W University Blvd
Durant, OK 74701-3094
Phone
(580) 924-5500
Fax
(580) 924-1991
NPI assigned
Jul 10, 2019
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0219R OK Primary

Addresses

Primary practice location

1600 W University Blvd
Durant, OK 74701-3094

Mailing address

1600 W University Blvd
Durant, OK 74701-3094
Phone (580) 924-5500

Other practice location 1

1600 W University Blvd
Durant, OK 74701-3094
Phone (580) 924-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220000845 MT Practitioner - Family Practice 2567872013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Liberty Univ College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Medical CenterGroup PAC ID 6507159514, shared by 5 NPIs, 11 clinicians
County of Sweet GrassGroup PAC ID 0547178154, 8 clinicians

Practice addresses (Care Compare)

301 W 7TH Ave
Big Timber, MT 59011-7695
Phone (406) 932-4603

301 W 7TH Ave
Big Timber, MT 59011-7893

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7129OKMDClinical Social Worker
0219ROKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Center Current Accepting new patients
Pioneer Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Pioneer Medical Center CurrentSince Dec 1, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1861044851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013094",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013094",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747013094",
            "country_code": "US",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECK",
        "first_name": "DUSTIN",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "0219R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.