Craig Cameron Hine, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5256 Issued in OK

Practice address

602 S Utica Ave
Tulsa, OK 74104-2641

Phone

(918) 585-3744

Fax

(185) 853-7749

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1629076500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741042641",
            "telephone_number": "918-585-3744",
            "fax_number": "918-585-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741042641",
            "telephone_number": "918-585-3744",
            "fax_number": "185-853-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINE",
        "first_name": "CRAIG",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100118870A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Nicholas Hilton, DO
• Regenia Kaye Hilton, APRN
• Elizabeth Himes
• Seraphim Tadina Himes, DO
• Juanita Marie Hinckley, OTD/L
• Brandi Rochelle Hines
• Ingrid Andrea Hines, CRNA
• Keegan Ashley Hines
• Melissa Hines
• Charles Michael Hinkle, DDS

• 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 Sep 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.