Individual provider Active NPI

Carole M Dentino, MD

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1689652869
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29405 Issued in OK
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14202ROtherLAMEDICAL LICENSE
1104701MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080902000528 TX Practitioner - Diagnostic Radiology 4981661592 Reassigns benefits to 11 organizations
I20130315000305 OK Practitioner - Diagnostic Radiology 4981661592 Reassigns benefits to 2 organizations

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
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians
Pawnee Indian Health CenterGroup PAC ID 2769470160, 88 clinicians
Lawton Indian HospitalGroup PAC ID 6406800234, 126 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians
The Breast CenterGroup PAC ID 8325946072, 13 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
98.1 of 100Reported as group
Quality
86
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14202LAMDBody Imaging Physician
29405OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Feb 1, 2026 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Feb 1, 2026 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Apr 1, 2026 Accepting new patients
The Breast Center CurrentSince Jan 15, 2026 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Cherokee Nation CurrentSince Jan 20, 2026 Accepting new patients
Imaging Partners of Tulsa LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Dec 8, 2014 Accepting new patients
El Reno Indian Health Center CurrentSince Sep 17, 2025 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Feb 1, 2026 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Jun 1, 2026 Accepting new patients
Watonga Indian Health Center CurrentSince Sep 17, 2025 Accepting new patients
Pawnee Indian Health Center CurrentSince Sep 17, 2025 Accepting new patients
Wewoka Indian Health CurrentSince Sep 17, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 4, 2025 Accepting new patients
Contract X-Ray Services, Inc. CurrentSince Feb 14, 2018 Accepting new patients
Cherokee Nation Current Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Dec 12, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Dec 8, 2014 Accepting new patients
Touchstone Imaging of Oklahoma, LLC CurrentSince Feb 1, 2026 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 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

  • Direct secure messaging: 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.

View all 32

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.