DR. KEVIN C. DUFFY (NPI# 1578719456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578719456 |
| Entity Type | Individual |
| Full Name | DR. KEVIN C. DUFFY |
| Credential | D.D.S. |
| Practice Address |
1621 S Eucalyptus Ave Ste 201 Broken Arrow OK 74012-5950 |
| Mailing Address |
1621 S Eucalyptus Ave Ste 201 Broken Arrow OK 74012-5950 |
| Practice Telephone | 9182491818 |
| Practice Fax Number | 9182494343 |
| Mailing Telephone | 9182491818 |
| Mailing Fax Number | 9182494343 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5378 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754175 | Kevin Charles Duffy | Student in an Organized Health Care Education/Training Program | 16 Old Whitmore Ave Se Apt 414, Roanoke, VA 24016-1236 | 2019-05-02 |
| 1285877928 | Kevin Peter Duffy | Specialist/Technologist | 1834 Hendrickson St, Brooklyn, NY 11234-4520 | 2009-04-10 |
| 1164412565 | Kevin A Duffy | Physician Assistant | 3394 E. Jolly Rd Ste C, Lansing, MI 48910 | 2005-10-26 |
| 1245756253 | Kevin David Duffy | Audiologist | 700 W Kent Ave, Missoula, MT 59801-6772 | 2017-08-21 |
| 1518488956 | Kevin Duffy | Counselor | 1391 Washington Blvd, Pittsburgh, PA 15206-1801 | 2017-07-06 |
| 1851812770 | Kevin Duffy | Physical Therapist | 1415 Tulane Ave Fl 7, New Orleans, LA 70112-2600 | 2017-06-30 |
| 1245629294 | Kevin Duffy | Nurse's Aide | 4923 Ogletown Stanton Rd, Suite 200, Newark, DE 19713-2081 | 2015-01-14 |
| 1790907673 | Kevin Duffy Jr. | Internal Medicine | 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104-5127 | 2007-05-02 |
| 1578616603 | Kevin Patrick Duffy | Clinical Neuropsychologist | 884 Brighton Rd, Tonawanda, NY 14150-8169 | 2007-01-20 |
| 1518020007 | Kevin J Duffy II | Physical Therapist | 2625 Butterfield Rd, Suite 308 South, Oak Brook, IL 60523-1234 | 2006-12-18 |
| Street Address |
1621 S EUCALYPTUS AVE STE 201 |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-5950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254826 | Dena Marie Brunk | Physical Therapist | 1621 S Eucalyptus Ave, Broken Arrow, OK 74012-5940 | 2005-06-13 |
| 1518232230 | Melissa Morgan Md PC | Clinic/Center | 1621 S Eucalyptus Ave, Suite 202, Broken Arrow, OK 74012-5940 | 2012-03-13 |
| 1427279561 | Oklahoma Physical Medicine and Rehabilitation, PC | Physical Medicine & Rehabilitation | 1621 S Eucalyptus Ave, Suite 204, Broken Arrow, OK 74012-5940 | 2007-05-02 |
| 1124109392 | Myrna Byers Domoney | Dentist | 1621 S Eucalyptus Ave, Suite 101, Broken Arrow, OK 74012-5940 | 2006-10-17 |
| 1861597866 | Myrna Domoney Dds, Pllc | Dentist | 1621 S Eucalyptus Ave, Suite 101, Broken Arrow, OK 74133 | 2006-09-14 |
| 1487621413 | Mary Melissa Morgan | Dermatology | 1621 S Eucalyptus Ave, Suite 202, Broken Arrow, OK 74012-5940 | 2006-03-08 |
| 1992771612 | Karla Hobart | Physical Therapist | 1621 S Eucalyptus Ave, Broken Arrow, OK 74012-5940 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437413051 | Thomas J Griffin II | Dentist | 3200 S Elm Pl Ste 110, Broken Arrow, OK 74012 | 2012-06-28 |
| 1285858985 | Clinton Wade Emerson | Dentist | 800 W Mission St, Broken Arrow, OK 74012-2599 | 2007-04-12 |
| 1518060102 | John T Lockard | Dentist | 3200 South Elm Place, Suite 110, Broken Arrow, OK 74012-7908 | 2006-09-07 |
| 1083815377 | Hwe Marigny, Plc | Dentist | 800 W Mission St, Broken Arrow, OK 74012-2599 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013813 | Lake Country Orthodontics | Dentist | 1119 Walnut Dr Ste 4, Ardmore, OK 73401-2360 | 2020-08-13 |
| 1285284919 | Marlo A. Miller Dds, Ms | Dentist | 816 S Mustang Rd, Yukon, OK 73099-6767 | 2019-09-15 |
| 1215480371 | Gabriel Luttrell | Dentist | 421 Nw 10th St, Suite 201-e, Oklahoma City, OK 73103-3909 | 2016-07-25 |
| 1417328170 | Tyler Holt | Dentist | 157 Stonebridge Blvd Apt 2223, Edmond, OK 73013-4773 | 2015-10-07 |
| 1235525734 | Christopher Trockel Orthodontics PC | Dentist | 12345 S Memorial Dr Ste 113, Bixby, OK 74008-2571 | 2015-04-10 |
| 1275921769 | Orthodontic Specialists of Shawnee | Dentist | 18 E Dunloup Rd, Shawnee, OK 74804-3203 | 2015-01-06 |
| 1629474127 | Smile Galaxy Orthodontics | Dentist | 10001 S Pennsylvania Ave Bldg P, Suite #130, Oklahoma City, OK 73159-6923 | 2014-11-10 |
| 1831505999 | Gabriela Restuccia | Dentist | 1201 N Stonewall Ave Rm 449, Oklahoma City, OK 73117-1214 | 2014-07-09 |
| 1962818351 | Dental Depot Orthodontics Sw Okc, Pllc | Dentist | 6217 S Western Ave Ste A, Oklahoma City, OK 73139-1605 | 2014-07-07 |
| 1730502519 | Dental Depot Orthodontics North Okc Pllc | Dentist | 14440 N Penn Ave, Oklahoma City, OK 73134-6003 | 2014-01-29 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.