Randy Fagan Dds, Pc

ActiveOrganizationDentistry
NPI issued: April 21, 2008

Quick Facts

NPI Number
1083888036
TypeOrganization
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(918) 455-6406
StateOK

NPI Validation Status: Verified

Valid 10-digit NPI number (1083888036)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (April 21, 2008)
Data source: CMS NPPES

Provider Overview

RANDY FAGAN DDS, PC is a Dentistry provider based in Broken Arrow, OK who has been registered with CMS since 2008. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083888036
Provider TypeOrganization
StatusActive
Enumeration DateApril 21, 2008

Practice Location

CityBroken Arrow
StateOK
ZIP Code74012-6726
Phone(918) 455-6406

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateOK

Mailing Address

CityBroken Arrow
StateOK
ZIP Code74012-6726
Phone(918) 455-6406
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1083888036 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1083888036for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083888036 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
125,053
Dentistry Providers in the US

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People Also Ask

What is Randy Fagan Dds, Pc's NPI number?
Randy Fagan Dds, Pc's NPI number is 1083888036, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Randy Fagan Dds, Pc's NPI currently active?
Yes, Randy Fagan Dds, Pc's NPI status is Active as of the latest CMS NPPES database updates.
What does Randy Fagan Dds, Pc specialize in?
Randy Fagan Dds, Pc specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Randy Fagan Dds, Pc practice?
Randy Fagan Dds, Pc practices in Broken Arrow, OK 74012-6726.
When was Randy Fagan Dds, Pc's NPI issued?
Randy Fagan Dds, Pc's NPI was issued on April 21, 2008.
What is Randy Fagan Dds, Pc's provider type?
Randy Fagan Dds, Pc is registered as an Organization under CMS NPI Type 2.