Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427839315 Individual Practitioner Male Practitioner

Shaun Chacko

Dentist - General Practice • Catoosa, OK

Professional Overview & Biography Verified Profile Summary

Shaun Chacko is a registered healthcare professional specializing in Dentist - General Practice in Catoosa, OK. Practice services are available at 2036 S MILLER LN STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2036 S Miller Ln Ste B

Catoosa, OK 740151539

Telephone 9189377660

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Catoosa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Catoosa, OK (1496 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 7733

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

4015 N Flood Ave

Norman, OK 730698354

Phone: 4053609117

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Roah Kelly , DMD

Dentist - General Practice

NPI 1033907423

Doctor of Dental Medicine

Dr. Austin Tolbert , DDS

Dentist - General Practice

NPI 1033953625

Doctor of Dental Surgery

Dr. Rafael Morales , DMD

Dentist - General Practice

NPI 1508541251

Doctor of Dental Medicine

Taylor Bonnewitz

Dentist - General Practice

NPI 1679424055
NPI 1902596570

Doctor of Dental Medicine

Dr. Tyler Snyder , DMD

Dentist - General Practice

NPI 1932997327

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location November 20, 2024

Registered at 2036 S MILLER LN STE B, CATOOSA, OK 740151539 (Tel: 9189377660)

NPI Profile Active October 09, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2023

Registered at 4015 N FLOOD AVE, NORMAN, OK 730698354 (Tel: 4053609117)

📍
Updated Business Mailing Address October 09, 2023

Registered at 2714 LAMOND HILL AVE, EDMOND, OK 730346979 (Tel: 4053175625)

👤
Provider Name / Credentials Updated October 09, 2023

Recorded as SHAUN CHACKO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2023

Dentist (License #7733 in OK)

🟢
Initial NPI Registration & Enumeration October 09, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427839315
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2023
Last Update: November 20, 2024
Sole Proprietor: No

Mailing Address

2714 Lamond Hill Ave

Edmond, OK 730346979

Phone: 4053175625

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.