DR. DAVID CARROLL MATHIS (NPI# 1588636385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588636385 |
| Entity Type | Individual |
| Full Name | DR. DAVID CARROLL MATHIS |
| Credential | DDS |
| Practice Address |
1 Choctaw Way Talihina OK 74571-2022 |
| Practice Telephone | 9185677000 |
| Practice Fax Number | 9185677091 |
| Mailing Telephone | 9185677000 |
| Mailing Fax Number | 9185677091 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2011-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
014030 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982636676 | David Michael Mathis | Psychiatry & Neurology | 2575 Northwinds Pkwy, Alpharetta, GA 30009-2232 | 2006-07-06 |
| 1982984456 | David Ellery Mathis | Pharmacist | 2094 W Us Highway 90, Lake City, FL 32055-4720 | 2011-08-28 |
| 1609952217 | David Edwin Mathis | Internal Medicine | 707 Pine Street, Macon, GA 31201 | 2006-10-27 |
| 1275636698 | David Lewis Mathis | Otolaryngology | 9770 S Mccarran Blvd, Reno, NV 89523 | 2006-09-07 |
| 1285666081 | David Michael Mathis | Family Medicine | 1600 California Dr, Vacaville, CA 95687 | 2006-07-06 |
| 1538169743 | David C Mathis | Psychologist | 204 W Hogan St, Tullahoma, TN 37388-3338 | 2005-07-29 |
| Street Address |
1 CHOCTAW WAY |
| City | TALIHINA |
| State | OK |
| Zip Code | 74571-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596791 | Clinton D Bullock | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2005-05-24 |
| 1568089555 | Robert Benjamin Bowman | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-25 |
| 1851917363 | Rashad Mohamed Riazuddin | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-20 |
| 1144846635 | Saranah Isenberg | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-19 |
| 1083233043 | Ethan Hight Linscott | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-04-10 |
| 1104466010 | Crystal Renee Collins | Respiratory Therapist, Certified | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-01-08 |
| 1619514213 | Ashley Danielle Devaughan | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-12-03 |
| 1134761158 | Julie Collins | Dietitian, Registered | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-10-10 |
| 1114569423 | Caroline Jalen Couch | Occupational Therapist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-10-09 |
| 1376104893 | Eric Allen Gillette | Family Medicine | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679033914 | Megan Ann Louise Hall | Peer Specialist | 908 Dallas Street, Talihina, OK 74571 | 2019-03-22 |
| 1447736764 | Harper Ranch & Enterprises LLC | Nurse Practitioner | 308 Second St., Talihina, OK 74571 | 2018-07-19 |
| 1588161004 | Bailee Marie Mcconnell | Peer Specialist | 14476 Se 2022nd Rd, Talhina, OK 74571 | 2018-04-11 |
| 1932644002 | Laura Ashley Sanford | Family Medicine | 205 Dallas Street, Talihina Community Clinic, Talihina, OK 74571 | 2016-12-28 |
| 1003362583 | Tammy Serena Adams | Behavioral Analyst | 903 Dallas Street, Talihina, OK 74571 | 2016-08-25 |
| 1356735963 | Millennium Community | Case Management | 308 Veterans Street, Talihina, OK 74571 | 2015-03-20 |
| 1225449176 | Millenium | Case Management | 308 Veterans Ave, Talihina, OK 74571 | 2014-05-14 |
| 1366881013 | Tisha J Fitzgerald | Counselor | 508 Veterans, Talihina, OK 74571 | 2013-06-17 |
| 1295075406 | Millennium Community Service | Community/Behavioral Health | 53565 Williams Ave., Talihina, OK 74571 | 2013-02-25 |
| 1649548413 | Kimberly Stegall | Counselor | 501 Veterans Street, V, Talihina, OK 74571 | 2011-12-08 |
| Find all providers in zip 74571 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598969487 | Talihina Family Dentistry | Dentist | 200 Dallas St, Talihina, OK 74571-2402 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808928 | Dentists of Oklahoma City, PC | Dentist | 12200 N Macarthur Blvd Ste I, Oklahoma City, OK 73162-1849 | 2020-10-13 |
| 1548874977 | Syed Hammad Reza | Dentist | 840 S Lynn Riggs Blvd, Claremore, OK 74017-8301 | 2020-09-02 |
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1679183420 | Dentists of Moore and Orthodontics | Dentist | 740 Sw 19th St Ste C, Moore, OK 73160-3062 | 2020-08-06 |
| 1770192635 | Joseph Ghazal | Dentist | 1520 S Main St # 1, Blackwell, OK 74631-4921 | 2020-07-27 |
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1679190953 | Harmon Denture Clinic LLC | Dentist | 104 E Mcelroy Rd Ste 4, Stillwater, OK 74075-3803 | 2020-07-02 |
| 1548887946 | Hometown Dental of Yukon Pllc | Dentist | 1315 Holly Ave, Yukon, OK 73099-5407 | 2020-07-01 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1053937854 | Nathan Sethman | Dentist | 1410 N Louis Tittle Ave, Mangum, OK 73554-2218 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.