Craig Matthew Bolinger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010634A Issued in IN

Practice address

5800 Fairfield Ave
Suite 220
Fort Wayne, IN 46807-3400

Phone

(260) 456-6073

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bolinger Dental L.L.C.

  • Dental Clinic/Center
  • Fort Wayne, IN
  • NPI 1114418654
  NPD (past) Authorized official
• Robert L Arnold DDS Inc

  • General Practice Physician
  • Fort Wayne, IN
  • NPI 1619044047
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1124153325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 EAGLE RIVER RUN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458742",
            "telephone_number": "260-484-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIELD AVE",
            "address_2": "SUITE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073400",
            "telephone_number": "260-456-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLINGER",
        "first_name": "CRAIG",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010634A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bolinger Dental L.L.C.
• Haley Cheyenne Bolinger-Hope
• Catilena Bolinger, RBT
• Charles Arthur Bolinger, CPED
• Christina M Bolinger, DC
• Elizabeth Bolinger, LMHC
• Jeremy Bolinger
• Julie Danielle Bolinger, PHARMD
• Andrew S Bollier, PA
• James E Bollier, MD

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.