Craig Blackham, DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

0401414225 Issued in VA

Legal business name

CRAIG BLACKHAM, DDS PC

Practice address

7063 Messer Rd
Richmond, VA 23231-5509

Phone

(804) 222-3310

Fax

(804) 222-3311

NPI assigned

Nov 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Craig A Blackham, DDS

Title

Dentist

Phone

(804) 222-3310

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1104222736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7063 MESSER RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232315509",
            "telephone_number": "804-222-3310",
            "fax_number": "804-222-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7063 MESSER RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232315509",
            "telephone_number": "804-222-3310",
            "fax_number": "804-222-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG BLACKHAM, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "BLACKHAM",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-222-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Randolph Craft, PH.D.
• Janay Craft
• Shelley Buran Craft, RPH
• Todd A. Craft, A.T.,C. C.S.C.S.
• Santrice Lafonda Crafton, C.M.T., M.M.P
• Kimberly Hooks Craig, RD
• Tonette Craig
• Kelly M Craighead, RN
• Mattie Alyce Caudle Crain, PT
• Kelly Cramer, LCSW

• Dentist in Richmond, VA
• Providers in Richmond, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.