John Albert Streight, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4727 Issued in OK

Practice address

400 Fairview Ave Ste 3
Ponca City, OK 74601-1910

Phone

(580) 762-2503

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fairfax Medical Facilities Inc

  dba Robert Clark Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Fairfax, OK
  • NPI 1538183173
  NPD (past)
• Fairfax Medical Facilities Inc

  dba Hominy Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hominy, OK
  • NPI 1609040864
  NPD (past)
• Fairfax Medical Facilities Inc

  dba Newkirk Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Newkirk, OK
  • NPI 1851535785
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861605370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE STE 3",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011910",
            "telephone_number": "580-762-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE STE 3",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011910",
            "telephone_number": "580-762-2503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 S Highway 77",
            "address_purpose": "LOCATION",
            "city": "Newkirk",
            "state": "OK",
            "postal_code": "746477009",
            "country_code": "US",
            "telephone_number": "580-362-2555",
            "fax_number": "580-362-2948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREIGHT",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4605",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladonna Eileen Stieber, RN
• Brittnee Stierwalt
• Kimberly Stojakovic
• Amanda Mae Stone
• Olivia Nicole Stookey
• Michael Thomas Stroud
• William A Stuever, O.D.
• Sandra Joanne Suggs, RN
• Abigail Nicole Sullins
• Nora A Summitt, LPN

• General Practice Dentistry in Ponca City, OK
• Providers in Ponca City, 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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.