Active NPI
Dawn Rochelle Demott, OTR
- Specialist
- Tulsa, OK
National Provider Identifier
1912201641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1542
- Practice address
- 7409 E 84TH St
Tulsa, OK 74133-6632 - Phone
- (620) 249-1963
- NPI assigned
- Jan 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1542 | OK | Primary |
Addresses
Primary practice location
7409 E 84TH St
Tulsa, OK 74133-6632
Mailing address
7409 E 84TH St
Tulsa, OK 74133-6632
Phone (620) 249-1963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients |
Locations
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
Dept 1467
Tulsa, OK 74182
Dept 1038
Tulsa, OK 74182
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Long Term Care Hospital
- Okmulgee, OK
- NPI 1376979955
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1912201641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7409 E 84TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741336632",
"telephone_number": "620-249-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7409 E 84TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741336632",
"telephone_number": "620-249-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMOTT",
"first_name": "DAWN",
"middle_name": "ROCHELLE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "1542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.