DR. RANDY J FAGAN (DDS) – Dentist, NPI 1487628731

DR. RANDY J FAGAN (DDS) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in Dentist. They hold the professional credentials DDS. They hold a License No. 5318 (OK). The NPI Number for DR. RANDY J FAGAN (DDS) is 1487628731

Main info

Male
Name
DR. RANDY J FAGAN (DDS)
NPI
1487628731
Phone
(918) 455-6406
Address
2221 W WASHINGTON ST
Enumeration Date
14 February 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. RANDY J FAGAN (DDS)

  • 2221, West Washington Street, Broken Arrow, Tulsa County, Oklahoma, 74012, United States

    BROKEN ARROW, OK 740126726

    Phone: (918) 455-6406

    Fax: (918) 455-1856

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: BioHorizons Implant Systems Inc. ($86).

Total Amount

$105

General + Research + Ownership

Payments

4

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74012)

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Reviews

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Frequently asked questions

Does DR. RANDY J FAGAN (DDS) have a public NPI I can cite?
Public records show DR. RANDY J FAGAN (DDS) under NPI 1487628731.
Should I treat DR. RANDY J FAGAN (DDS) as an active provider?
Patients and plans typically see DR. RANDY J FAGAN (DDS) as active in the national extract.
What does the directory say DR. RANDY J FAGAN (DDS) does?
Insurance directories may phrase it differently, but here DR. RANDY J FAGAN (DDS) maps to Dentist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. RANDY J FAGAN (DDS)?
The directory associates DR. RANDY J FAGAN (DDS) with Broken Arrow, Oklahoma. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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