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DR. CLINTON LARRY BLAKE D.D.S.
NPI 1649328782
Dentist - General Practice in Norman, OK

Active since January 08, 2007PECOS Enrolled
831 SIENA SPRINGS DR., NORMAN, OK 73071(405) 392-4883(405) 392-4889 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clinton Larry Blake D.d.s. NPPES

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

DR. CLINTON LARRY BLAKE D.D.S. (NPI 1649328782) is an individual general practice provider in Norman, Oklahoma, licensed in Oklahoma (6330) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649328782
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CLINTON LARRY BLAKECredential: D.D.S.
Location Address831 SIENA SPRINGS DR.Norman, OK 73071
Mailing Address2820 Nw 32nd StNewcastle, OK 73065-6576 · (405) 392-4883 · Fax (405) 392-4889
Phone(405) 392-4883
Fax(405) 392-4889
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 20, 2011
✔ NPI 1649328782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in OK · 6330✔ Licensed in UT · 4950075-9922
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.
831 SIENA SPRINGS DR., Norman, OK 73071
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clinton Larry Blake D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73071 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.

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 Clinton Blake's NPI number?

The NPI number for Clinton Blake is 1649328782. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Clinton Blake located?

Clinton Blake practices at 831 Siena Springs Dr., Norman, OK 73071. The listed phone number is (405) 392-4883.

What is Clinton Blake's specialty?

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

Is Clinton Blake enrolled in Medicare?

Yes. Clinton Blake is registered in the Medicare PECOS enrollment system.

What insurance does Clinton Blake accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 13 other insurers list Clinton Blake 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 Clinton Blake was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.