Randy Fagan DDS, PC
NPI 1083888036ActiveOrganization· Dentist· Broken Arrow, OK
Dentist in Broken Arrow, Oklahoma, registered in NPPES in April 2008. The authorized official on file is Randy James Fagan, D.D.S., President.
Overview
| NPI | 1083888036 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2008 |
| Last updated in NPPES | Apr 21, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 5318 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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