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RANDALL JEFFREY CROOK DDS
NPI 1417082512
Dentist - General Practice in Tulsa, OK

Active since February 22, 2007Opted out of Medicare · through Dec 20, 2026
5424 S MEMORIAL DR STE A, TULSA, OK 74145(918) 664-6845(918) 664-6847 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Randall Jeffrey Crook Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL JEFFREY CROOK DDS (NPI 1417082512) is an individual general practice provider in Tulsa, Oklahoma, licensed in Oklahoma (3807) and active in the NPI registry since February 2007. He has opted out of Medicare through December 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417082512
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRANDALL JEFFREY CROOKCredential: DDS
Location Address5424 S MEMORIAL DR STE ATulsa, OK 74145-9003
Mailing Address5424 S Memorial Dr Ste ATulsa, OK 74145-9003 · (918) 664-6845 · Fax (918) 664-6847
Phone(918) 664-6845
Fax(918) 664-6847
Sole ProprietorYes
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417082512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 3807
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5424 S MEMORIAL DR STE A, Tulsa, OK 74145
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Randall Jeffrey Crook Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 20, 2016 through December 20, 2026.

Opt-Out Effective DateDecember 20, 2016
Opt-Out In Effect ThroughDecember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74145 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN D POWELL DDS PLLC
Dentist
5424 S MEMORIAL DR STE A
TULSA, OK 74145
Tulsa County (918) 664-6845

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Crook's NPI number?

The NPI number for Randall Crook is 1417082512. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Randall Crook located?

Randall Crook practices at 5424 S Memorial Dr Ste A, Tulsa, OK 74145. The listed phone number is (918) 664-6845.

What is Randall Crook's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Randall Crook enrolled in Medicare?

No. Randall Crook has opted out of Medicare through December 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Randall Crook accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Randall Crook as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Crook was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.