Brian Ray Shafer

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5388 Issued in OK

Practice address

701 W Watts St
El Reno, OK 73036-4458

Phone

(405) 262-2739

Fax

(405) 262-2905

NPI assigned

Sep 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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.

• Brian R. Shafer DDS, P.C.

  • Dentist
  • El Reno, OK
  • NPI 1962680207
  NPD (past) Authorized official

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992802508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W WATTS ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364458",
            "telephone_number": "405-262-2739",
            "fax_number": "405-262-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W WATTS ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364458",
            "telephone_number": "405-262-2739",
            "fax_number": "405-262-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "BRIAN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Seger
• Kimberly Dawn Sells
• Mary Ella Serawop, LPN
• Kathleen Elouise Sexton, LPN
• Stacie Lynette Seymour, BA
• Shamrock Behavioral Health Services of Oklahoma, LLC
• Cassidy Sharp
• Christina Marie Sharp, M. ED.
• Lauren Melissa Sherry
• Anas Siddiqui, MD

• General Practice Dentistry in El Reno, OK
• Providers in El Reno, 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 Jul 8, 2007; 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.