Active NPI
Carole M Dentino, MD
- Diagnostic Radiology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 29405
- Practice address
- 4500 S Garnett Rd
Suite 300
Tulsa, OK 74146-5229 - Phone
- (918) 728-6194
- Fax
- (918) 664-0267
- NPI assigned
- Jan 6, 2006
- Last updated
- Sep 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 14202 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 14202R | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 29405 | OK | Primary |
Addresses
Primary practice location
4500 S Garnett Rd
Suite 300
Tulsa, OK 74146-5229
Mailing address
4500 S Garnett Rd
Suite 300
Tulsa, OK 74146-5229
Phone (918) 728-6194
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14202R | Other | LA | MEDICAL LICENSE |
| 1104701 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Icahn School of Medicine at Mount Sinai, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391
1001 S 41St St E
Three Rivers Health Center
Muskogee, OK 74403-6253
Phone (918) 687-0201
10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3410
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Phone (580) 354-5000
1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424
27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800
2840 Paso del Robles
San Marcos, TX 78666-1001
Phone (918) 935-3550
301 S J T Stites St
Sallisaw, OK 74955-9302
Phone (918) 775-9150
5604 SW Lee Blvd
Suite 150
Lawton, OK 73505-9680
Phone (580) 536-9729
900 N Owen Walters Boulevard
A Mo Health Center
Salina, OK 74365-5003
Phone (918) 434-8500
Hospital & facility affiliations
- Integris Health Enid Hospital
- Cherokee Nation W W Hastings Indian Hospital
- Saint Francis Hospital Muskogee
- Integris Health Ponca City
- SSM Health St Anthony Hospital - Midwest
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.1 of 100
- Quality
- 86
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14202 | LA | MD | Body Imaging Physician |
| 29405 | OK | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touchstone Imaging of Oklahoma, LLC | Current | Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current | Accepting new patients | |
| Imaging Partners of Tulsa LLC | Diagnostic Radiology | Current | Accepting new patients |
| Touchstone Imaging of Oklahoma, LLC | Current | Accepting new patients | |
| The Breast Center | Current | Accepting new patients | |
| Imaging Partners of Tulsa LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Imaging Partners of Tulsa LLC | Diagnostic Radiology | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| El Reno Indian Health Center | Current | Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current | Accepting new patients | |
| Watonga Indian Health Center | Current | Accepting new patients | |
| Pawnee Indian Health Center | Current | Accepting new patients | |
| Wewoka Indian Health | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Contract X-Ray Services, Inc. | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Touchstone Imaging of Oklahoma, LLC | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Pawnee IHS Pharmacy | Past | Accepting new patients | |
| Radiology Imaging Associates, LLP | Body Imaging | Past | Accepting new patients |
| Laurinburg Radiology Associates PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300
1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
5604 SW Lee Blvd
Ste 150
Lawton, OK 73505
Phone (580) 536-9729
1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8440
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Dept 1467
Tulsa, OK 74182
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991
36640 Highway 270
Wewoka, OK 74884
Phone (405) 257-6282
36640 Highway 270
#C
Wewoka, OK 74884
Phone (405) 257-6282
Interoperability endpoints
- cdentino@yourcarecommunity.org
Organizations & group practices 32
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.
-
dba Creek Nation Community Hospital
- Family Medicine Physician
- Okemah, OK
- NPI 1467053173
TX
-
- Radiology Clinic/Center
- Lawton, OK
- NPI 1215952023
-
dba Choctaw Nation Health Care
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
TX
-
dba Creek Nation Health System
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
dba Integris Health Enid Hospital
- General Acute Care Hospital
- Enid, OK
- NPI 1144236571
-
dba Integris Health Ponca City Hospital
- General Acute Care Hospital
- Ponca City, OK
- NPI 1548047616
-
dba Saint Francis Hospital Muskogee
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
-
- General Acute Care Hospital
- Midwest City, OK
- NPI 1700471497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1689652869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD",
"address_2": "SUITE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741465229",
"telephone_number": "918-728-6194",
"fax_number": "918-664-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD",
"address_2": "SUITE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741465229",
"telephone_number": "918-728-6194",
"fax_number": "918-664-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENTINO",
"first_name": "CAROLE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "LA",
"license": "14202",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "14202R",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "29405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "14202R",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104701",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
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- Dentistry by Design of Tulsa, Inc.
- Dentistryone of Oklahoma Pooja Santwani PC
- Brooke Javon Denton, CSFA
- Jason Wyatt Denton
- Nevada Lynn Denton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.