Active NPI
David Michael Croninger, D. MIN.
- Addiction (Substance Use Disorder) Counselor
- Oklahoma City, OK
National Provider Identifier
1982964920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 418
- Practice address
- 5100 N Brookline Ave
Suite 620
Oklahoma City, OK 73112-3623 - Phone
- (405) 226-8509
- Fax
- (405) 322-5377
- NPI assigned
- May 24, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 418 | OK | Primary |
| Marriage & Family Therapist | 106H00000X | 239 | OK |
Addresses
Primary practice location
5100 N Brookline Ave
Suite 620
Oklahoma City, OK 73112-3623
Mailing address
5100 N. Brookline Ave.
Suite 620
Oklahoma City, OK 73112
Phone (405) 226-8509
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 |
|---|---|---|---|
| 239 | OK | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472256000000",
"number": "1982964920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 N. BROOKLINE AVE.",
"address_2": "SUITE 620",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-226-8509",
"fax_number": "405-322-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 N BROOKLINE AVE",
"address_2": "SUITE 620",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731123623",
"telephone_number": "405-226-8509",
"fax_number": "405-322-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONINGER",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D. MIN.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-24",
"last_updated": "2016-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "418",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "239",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.