Active NPI
Christopher Ryan Crain, DDS
- Dentist
- Tulsa, OK
National Provider Identifier
1982762753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5822
- Practice address
- 5301 S Lewis Ave
Tulsa, OK 74105-6539 - Phone
- (918) 770-0870
- NPI assigned
- Dec 5, 2006
- Last updated
- May 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5822 | OK | Primary |
| Dentist | 122300000X | 6941 | LA | |
| Dentist | 122300000X | 11828 | TN | |
| Dentist | 122300000X | 22460 | TX |
Addresses
Primary practice location
5301 S Lewis Ave
Tulsa, OK 74105-6539
Mailing address
5301 S Lewis Ave
Tulsa, OK 74105-6539
Phone (918) 770-0870
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 |
|---|---|---|---|
| 6941 | LA | MD | Dentist |
| 11828 | TN | MD | Dentist |
| 22460 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Dental Professionals, PC | Past | Accepting new patients | |
| Clayton C. Cummings DDS PC | Dentist | Past | Accepting new patients |
| Texas Grins Family Dentistry, PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Customized Equipment (DME)
- Willow Park, TX
- NPI 1619252293
-
dba Advanced Dental Health Center
- General Practice Dentistry
- Nashville, TN
- NPI 1053993824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1982762753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741056539",
"telephone_number": "918-770-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741056539",
"telephone_number": "918-770-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIN",
"first_name": "CHRISTOPHER",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "5822",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6941",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "11828",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22460",
"primary": false
}
],
"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 May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.