Tim Fagan, DDS, MS
NPI 1477557452 · Pediatric Dentistry · Oklahoma City, OK
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tim Fagan, DDS, MS is a Pediatric Dentistry provider in Oklahoma City, OK (NPI 1477557452).
Provider details
- NPI number
- 1477557452
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 4227 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 423 N Van Buren StEnid, OK 73703-4454Phone: (580) 233-0043
Registry dates
- Enumerated
- 2005-06-08
- Last updated
- 2019-07-24
Frequently asked questions
- What is Tim Fagan's NPI number?
- Tim Fagan's National Provider Identifier (NPI) is 1477557452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tim Fagan's specialty?
- Tim Fagan is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Tim Fagan located?
- Tim Fagan's practice location on file with NPPES is 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214.
- What is Tim Fagan's phone number?
- The practice phone number listed in the NPPES registry for Tim Fagan is (405) 271-5444.
- Does Tim Fagan accept Medicare?
- Tim Fagan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tim Fagan's NPI active?
- Yes — Tim Fagan's NPI (1477557452) is active in the NPPES registry as of the last update on 2019-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.