NPIMap

Organization Active NPI

Dental Sleep Center Richard a Craig DDS LTD

Doing business as Midwest Dental Sleep Center

  • General Practice Dentistry
  • Lockport, IL
National Provider Identifier
1114551579
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Doing business as
Midwest Dental Sleep Center
Practice address
14831 W 159TH St Ste 1
Lockport, IL 60491-9008
Phone
(630) 218-1920
Fax
(815) 744-7059
NPI assigned
Feb 25, 2020
Last updated
Dec 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Dr. Richard Allen Craig, DDSNPI 1124041769
Title
President
Phone
(312) 676-9892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X

Addresses

Primary practice location

14831 W 159TH St Ste 1
Lockport, IL 60491-9008

Mailing address

14831 W 159TH St Ste 2
Lockport, IL 60491-9008
Phone (630) 218-1920

Other identifiers 6

IdentifierTypeStateIssuer
1265442073OtherNPI BRIAN PRENTICE DDS
1053423285OtherNPI KEVIN WALLACE DMD
1053453936OtherNPI STEVEN MORAVEC DDS
1124041769OtherNPI RICHARD CRAIG DDS
1457579682OtherNPI CHARLES LOCKHART DDS
1447468178OtherNPI IVAN VALCARENGHI DDS

Other names 1

  • MIDWEST DENTAL SLEEP CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Sleep Center Richard7 organizations share this tax ID, including this one
Part of
Dental Sleep Center Richard

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14831 W 159th St
Ste 2
Lockport, IL 60491

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1114551579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14831 W 159TH ST STE 2",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604919008",
            "telephone_number": "630-218-1920",
            "fax_number": "815-744-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14831 W 159TH ST STE 1",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604919008",
            "telephone_number": "630-218-1920",
            "fax_number": "815-744-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD",
        "enumeration_date": "2020-02-25",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-676-9892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BRIAN PRENTICE DDS",
            "identifier": "1265442073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI KEVIN WALLACE DMD",
            "identifier": "1053423285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI STEVEN MORAVEC DDS",
            "identifier": "1053453936",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RICHARD CRAIG DDS",
            "identifier": "1124041769",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CHARLES LOCKHART DDS",
            "identifier": "1457579682",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI IVAN VALCARENGHI DDS",
            "identifier": "1447468178",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWEST DENTAL SLEEP CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIDWEST DENTAL SLEEP CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lockport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.