Craniofacial Pain TMJ & Sleep of Ok

Primary specialty

DentistTaxonomy code 122300000X

License

3515 Issued in OK

Legal business name

CRANIOFACIAL PAIN TMJ & SLEEP OF OK

Practice address

448 36TH Ave NW
Suite 103
Norman, OK 73072-4746

Phone

(405) 321-8030

Fax

(405) 321-2108

NPI assigned

Dec 3, 2008

Organization subpart

Yes

Parent organization

CRANIOFACIAL PAIN, TMJ & SLEEP OF OKAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Louis Talley, D.D.S.

Title

Ceo/President

Phone

(405) 321-8030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Craniofacial Pain TMJ & Sleep of Ok

  • Dentist
  • Norman, OK
  • NPI 1871177188

  O20100930070953

  Same enrollment

Part of

Craniofacial Pain TMJ Sleep of Ok

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1023253226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 36TH AVE NW",
            "address_2": "SUITE 103",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724746",
            "telephone_number": "405-321-8030",
            "fax_number": "405-321-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 36TH AVE NW",
            "address_2": "SUITE 103",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724746",
            "telephone_number": "405-321-8030",
            "fax_number": "405-321-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL PAIN TMJ & SLEEP OF OK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRANIOFACIAL PAIN, TMJ & SLEEP OF OK",
        "enumeration_date": "2008-12-03",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "405-321-8030",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "3515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennilee Craig, PHARMD
• Preston Craig
• Robi Lynn Craig, DDS
• Judy R Crain, LCSW, LADC, CMIII
• Robin Gail Crain, O.T.
• Craniofacial Pain TMJ & Sleep of Ok
• Cassandra R Crawford, MA, RD/LD, CPT-NFPA
• Michael Joe Crawford, P.A.
• Summer Crawford, APRN
• Tymalie Crawford, RBT

• Dentist in Norman, OK
• Providers in Norman, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.