Kevin Dreesen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7754 Issued in OK

Practice address

6616 S Western Ave
Oklahoma City, OK 73139-1708

Phone

(405) 601-7852

NPI assigned

May 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Summer Dental Midwest City, PLLC

  • General Practice Dentistry
  • Midwest City, OK
  • NPI 1518578095
  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1942992995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6616 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391708",
            "telephone_number": "405-601-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREESEN",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixie L Draper, CRNA
• Harvey A Drapkin, D.O.
• Zandar Dravon-Gemelli
• Brittany Marie Dray, MA, LFMT, ATR
• Shannon Renee Drayton
• Alisia Leanne Drennan, M.ED, LPC
• Jason Carl Drennan
• Sarah Elizabeth Drennan, MD
• Amber M Drennen, PA-C
• Christine Dresel, PHARMD

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma 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 May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.