DR. TIM R FAGAN DDS, MS
NPI 1477557452
Dentist - Pediatric Dentistry in Oklahoma City, OK
About Dr. Tim R Fagan Dds, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIM R FAGAN DDS, MS (NPI 1477557452) is an individual pediatric dentistry provider in Oklahoma City, Oklahoma, licensed in Oklahoma (4227) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tim R Fagan Dds, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73117
OKLAHOMA CITY, OK 73117
OKLAHOMA CITY, OK 73117
OKLAHOMA CITY, OK 73117
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tim Fagan's NPI number?
The NPI number for Tim Fagan is 1477557452. It was assigned to this individual provider in the NPPES registry on June 8, 2005.
Where is Tim Fagan located?
Tim Fagan practices at 1201 N Stonewall Ave, Oklahoma City, OK 73117. The listed phone number is (405) 271-5444.
What is Tim Fagan's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Tim Fagan enrolled in Medicare?
Yes. Tim Fagan is registered in the Medicare PECOS enrollment system.
What insurance does Tim Fagan accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Tim Fagan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tim Fagan was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Tim R Fagan, DDS, MS · NPI 1477557452
Pediatric Dentistry provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since June 8, 2005.
## Identity
- **NPI:** 1477557452 (Entity type: Individual)
- **Enumerated:** June 8, 2005
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** 4227 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 N STONEWALL AVE, Oklahoma City, OK 73117-1214
- **Phone:** (405) 271-5444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1477557452) · Data from the CMS NPPES public registry.