Active NPI
Cameron Critchfield, DDS
- General Practice Dentistry
- Cody, WY
National Provider Identifier
1104213636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1446
- Practice address
- 1531 Bleistein Ave
Cody, WY 82414-3806 - Phone
- (307) 587-0100
- Fax
- (307) 587-0105
- NPI assigned
- Apr 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1446 | WY | Primary |
Addresses
Primary practice location
1531 Bleistein Ave
Cody, WY 82414-3806
Mailing address
26 South 2000 East, Suite 5900
Salt Lake City, UT 84112
Phone (801) 581-8951
Other practice location 1
1045 N 27th St
Billings, MT 59101-0711
Phone (406) 245-7026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1446 | WY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellowstone Family Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Billings, MT
- NPI 1437434123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1104213636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SOUTH 2000 EAST, SUITE 5900",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84112",
"telephone_number": "801-581-8951",
"fax_number": "801-585-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 BLEISTEIN AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824143806",
"telephone_number": "307-587-0100",
"fax_number": "307-587-0105"
}
],
"practiceLocations": [
{
"address_1": "1045 N 27th St",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "591010711",
"country_code": "US",
"telephone_number": "406-245-7026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRITCHFIELD",
"first_name": "CAMERON",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-22",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WY",
"license": "1446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.