ENTRUST DPC PLLC
NPI 1841941887
Family Medicine in Fairview, OK

Active since January 11, 2022CLIA 37D2254177 · Waiver
917 N MAIN ST, FAIRVIEW, OK 73737(580) 227-8647(580) 603-8602 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 21, 2022, Jan 11, 2022 (2 updates tracked since 2022).

About Entrust Dpc Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENTRUST DPC PLLC (NPI 1841941887) is a healthcare organization registered as a family medicine in Fairview, Oklahoma and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Andrea E Mceachern, President/medical Director, as its authorized official.

NPPES Registry Identity

NPI1841941887
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameENTRUST DPC PLLC
Location Address917 N MAIN STFairview, OK 73737-1005
Mailing Address917 N Main StFairview, OK 73737-1005 · (580) 227-8647 · Fax (580) 603-8602
Fax(580) 603-8602
Organization SubpartNo
Authorized OfficialAndrea E MceachernPresident/medical Director · (580) 227-8647
Enumeration DateJanuary 11, 2022
Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
NPI 1841941887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

917 N MAIN ST, Fairview, OK 73737

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2254177

Entrust Dpc, PLLC · Fairview, OK
Active · expires Feb 29, 2028
CLIA Number37D2254177
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorAndrea E. Mceachern
Laboratory Phone(580) 227-8647
Laboratory LocationEntrust Dpc, PLLC917 N Main St, Fairview, OK 73737
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
917 N MAIN ST
FAIRVIEW, OK 73737
Family Medicine
917 N MAIN ST
FAIRVIEW, OK 73737
Nurse Practitioner (Family)
917 N MAIN ST
FAIRVIEW, OK 73737

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841941887, enumerated as an "organization" on January 11, 2022.

The provider is located at 917 N MAIN ST FAIRVIEW, OK 73737 and the phone number is (580) 227-8647.

Family Medicine with taxonomy code 207Q00000X.