Randall Jeffrey Crook, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3807 Issued in OK

Practice address

5424 S Memorial Dr Ste a
Tulsa, OK 74145-9003

Phone

(918) 664-6845

Fax

(918) 664-6847

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 20, 2016 through Dec 20, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nathan D Powell DDS PLLC

  dba Forefront Dentistry

  • Dentist
  • Tulsa, OK
  • NPI 1912380643
  NPD (past)
• Ocean Dental, PC

  • General Practice Dentistry
  • Stillwater, OK
  • NPI 1508906876
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417082512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 S MEMORIAL DR STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459003",
            "telephone_number": "918-664-6845",
            "fax_number": "918-664-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 S MEMORIAL DR STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459003",
            "telephone_number": "918-664-6845",
            "fax_number": "918-664-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "RANDALL",
        "middle_name": "JEFFREY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Cronin
• Megan Ann Cronk
• Cronus PLLC
• Jadyn Crooch, PT
• Danetta Crook
• Sonia Crooks
• D'Andria Crooms
• Bobbie Crosby
• Heith Allen Crosby, PHARM.D.
• Kimberly M Crosby, PHARM.D.

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.