Richard A Craig, DDS
Individual provider Active NPI General Practice Dentistry · Lockport, IL
NPI 1124041769 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1124041769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019014284 (IL)
- Practice address
- 14831 W 159TH St Ste 1
Lockport, IL 60491-9008 - Phone
- (815) 483-2980
- Fax
- (815) 744-7059
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060505000359 | IL | Practitioner - Dentist |
6507877537 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Sleep Center Richard a Craig DDS LTD | General Practice | Current |
Accepting new patients |
| Dental Sleep Center Richard a Craig DDS LTD | General Practice | Current | Accepting new patients |
| Dental Sleep Center Richard a Craig DDS LTD | General Practice | Current |
Accepting new patients |
| Shorewood Family Dental Care LLP | General Practice | Past | Accepting new patients |
| Compliant Sleep Solutions-Converging Sleep Networks LLC | Past |
Accepting new patients |
Locations
27790 W Il Route 22
Ste 2
Barrington, IL 60010
Phone (630) 218-1920
150 E Huron St
Ste 1103
Chicago, IL 60611
Phone (312) 676-9893
14831 W 159th St
Ste 1
Lockport, IL 60491
Phone (312) 676-9893
2500 S Highland Ave
Ste 220
Lombard, IL 60148
Phone (630) 218-1920
220 Channahon St
Shorewood, IL 60404
Phone (630) 218-1920
4711 Golf Rd
Ste 413
Skokie, IL 60076
Phone (847) 329-9588
4711 Golf Rd
Ste 912
Skokie, IL 60076
Phone (847) 676-3500
7501 Lemont Rd
Ste 300
Woodridge, IL 60517
Phone 6303245369105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019014284 | IL | Yes |
Addresses
Primary practice location
14831 W 159TH St Ste 1
Lockport, IL 60491-9008
Mailing address
14831 W 159TH St Ste 1
Lockport, IL 60491-9008
Phone (312) 676-9892
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053431981 | Other | GROUP NPI | |
| 1205145554 | Other | PRACTICE LOCATION TYPE II NPI | |
| 1295165439 | Other | PRACTICE LOCATION TYPE II NPI | |
| 1063649770 | Other | GROUP NPI | |
| 1760882005 | Other | PRACTICE LOCATION TYPE II NPI | |
| 1306177241 | Other | PRACTICE LOCATION TYPE II NPI | |
| 1508198474 | Other | PRACTICE LOCATION TYPE II NPI |
Other providers in Lockport, IL
- Daniel Lee Clark
- Daniel R Co
- Loretta L Colhardt
- Comfort Your Way
- Carlo Custodio Cordero
- Eileen Mary Crean
- Joseph William Cunnane
- Kristine D Czaplicki
- Jeffrey John D'Adam
- Daniel L Clark DO LTD
All providers in Lockport, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.