Kenneth Demasters
NPI 1073696605 · Medical Physician Assistant · Moore, OK
Kenneth Demasters is a Medical Physician Assistant provider in Moore, OK (NPI 1073696605).
Provider details
- NPI number
- 1073696605
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PA1077 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2014-05-29
Frequently asked questions
- What is Kenneth Demasters's NPI number?
- Kenneth Demasters's National Provider Identifier (NPI) is 1073696605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Demasters's specialty?
- Kenneth Demasters is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Demasters located?
- Kenneth Demasters's practice location on file with NPPES is 507 Ne 12th St, Moore, OK 73160-5807.
- What is Kenneth Demasters's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Demasters is (405) 703-4202.
- Is Kenneth Demasters's NPI active?
- Yes — Kenneth Demasters's NPI (1073696605) is active in the NPPES registry as of the last update on 2014-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.