Active NPI
Amy Croom, DDS
- Dentist
- Norman, OK
National Provider Identifier
1407869365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5372
- Practice address
- 509 S Porter Ave
Norman, OK 73071-5437 - Phone
- (405) 321-4060
- NPI assigned
- Aug 14, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5372 | OK | Primary |
Addresses
Primary practice location
509 S Porter Ave
Norman, OK 73071-5437
Mailing address
428 Sterling Pointe Way
Edmond, OK 73003-5256
Phone (405) 227-3893
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | varsitydentalok.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Varsity Dental PLLC | Current | Accepting new patients | |
| Parkway Dental Group PLLC | Dentist | Past | Accepting new patients |
| Amy Croom Kuker, DDS | Past | Accepting new patients | |
| Gentle Family Dentistry | Dentist | Past | Accepting new patients |
Locations
509 S Porter Ave
Norman, OK 73071
Phone (405) 321-4050
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Norman, OK
- NPI 1295325512
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1689050452
-
- Dentist
- Norman, OK
- NPI 1861564585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1407869365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 STERLING POINTE WAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730035256",
"telephone_number": "405-227-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 S PORTER AVE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730715437",
"telephone_number": "405-321-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOM",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2023-03-07",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5372",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "varsitydentalok.com",
"affiliation": "N",
"endpointDescription": "practice email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "practice email",
"address_1": "509 S Porter Ave",
"city": "Norman",
"state": "OK",
"country_code": "US",
"postal_code": "730715437",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.