James H. Creznic, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3596 Issued in ME

Practice address

122 High St
Farmington, ME 04938-1928

Phone

(207) 778-6342

Fax

(207) 778-6527

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• James H. Creznic DMD, PA

  • General Practice Dentistry
  • Farmington, ME
  • NPI 1306022371
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063565364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HIGH ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381928",
            "telephone_number": "207-778-6342",
            "fax_number": "207-778-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HIGH ST",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381928",
            "telephone_number": "207-778-6342",
            "fax_number": "207-778-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREZNIC",
        "first_name": "JAMES",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lacey Beth Cormier, OTR/L
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• Jennifer Couture, DO
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• Cristi Demarco Acupuncture
• Rachel L Criswell, MD
• Anna D'Epiro Cushing, LICSW LCSW
• Scott Brendan Daigle, DMD
• Michael Damiani, DO

• General Practice Dentistry in Farmington, ME
• Providers in Farmington, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.