Organization Active NPI

Craig a Bolton MD PA

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1083742670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CRAIG A BOLTON MD PA
Practice address
10670 N Central Expy
Suite 170
Dallas, TX 75231-2111
Phone
(214) 368-0000
Fax
(214) 368-1884
NPI assigned
Mar 2, 2007
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
Craig A Botlon, MD
Title
MD Owner
Phone
(214) 368-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

10670 N Central Expy
Suite 170
Dallas, TX 75231-2111

Mailing address

10670 N Central Expy
Suite 170
Dallas, TX 75231-2111
Phone (214) 368-0000

National Provider Directory

National Provider Directory

Locations

10670 N Central Expy
Ste 170
Dallas, TX 75231
Phone (214) 368-0000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083742670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 N CENTRAL EXPY",
            "address_2": "SUITE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312111",
            "telephone_number": "214-368-0000",
            "fax_number": "214-368-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 N CENTRAL EXPY",
            "address_2": "SUITE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312111",
            "telephone_number": "214-368-0000",
            "fax_number": "214-368-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG A BOLTON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOTLON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "214-368-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

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.