NPIMap

Organization Active NPI

Craig B Wiggins DMD PSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Frankfort, KY
National Provider Identifier
1063545820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3945 Issued in KY
Legal business name
CRAIG B WIGGINS DMD PSC
Practice address
5 Physicians Park Drive
Frankfort, KY 40601
Phone
(502) 223-1656
Fax
(502) 223-7039
NPI assigned
Mar 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Craig Burdette Wiggins, DMDNPI 1912253998
Title
Orthodontist Owner
Phone
(502) 223-1656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3945 KY Primary

Addresses

Primary practice location

5 Physicians Park Drive
Frankfort, KY 40601

Mailing address

5 Physicians Park Drive
Frankfort, KY 40601
Phone (502) 223-1656

Other identifiers 1

IdentifierTypeStateIssuer
3945OtherKYDENTIST ORTHODONTIST

National Provider Directory

National Provider Directory

Locations

5 Physicians Park
Frankfort, KY 40601
Phone (502) 223-1656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063545820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PHYSICIANS PARK DRIVE",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "40601",
            "telephone_number": "502-223-1656",
            "fax_number": "502-223-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PHYSICIANS PARK DRIVE",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "40601",
            "telephone_number": "502-223-1656",
            "fax_number": "502-223-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG B WIGGINS DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "BURDETTE",
        "authorized_official_title_or_position": "ORTHODONTIST OWNER",
        "authorized_official_telephone_number": "502-223-1656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "3945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST ORTHODONTIST",
            "identifier": "3945",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.