Active NPI
Cameron Craig, D.D.S.
- Dentist
- Tulsa, OK
National Provider Identifier
1831610096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6947
- Practice address
- 9671 South Riverside Drive East
Tulsa, OK 74137 - Phone
- (918) 637-7182
- NPI assigned
- Jun 28, 2017
- Sex
- Male
- 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 | 6947 | OK | Primary |
Addresses
Primary practice location
9671 South Riverside Drive East
Tulsa, OK 74137
Mailing address
9671 South Riverside Drive East
Tulsa, OK 74137
Other practice location 1
635 S Main St
Sapulpa, OK 74066-5100
Phone (918) 224-0369
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6947 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John F Carletti DDS Prof Corp | Past | Accepting new patients | |
| John F Carletti,DDS a Professional Corp | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Tulsa, OK
- NPI 1164815395
-
- General Practice Dentistry
- Sapulpa, OK
- NPI 1659548188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1831610096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9671 SOUTH RIVERSIDE DRIVE EAST",
"city": "TULSA",
"state": "OK",
"postal_code": "74137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9671 SOUTH RIVERSIDE DRIVE EAST",
"city": "TULSA",
"state": "OK",
"postal_code": "74137",
"telephone_number": "918-637-7182"
}
],
"practiceLocations": [
{
"address_1": "635 S Main St",
"address_purpose": "LOCATION",
"city": "Sapulpa",
"state": "OK",
"postal_code": "740665100",
"country_code": "US",
"telephone_number": "918-224-0369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAIG",
"first_name": "CAMERON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.