Kimberly Richards Craven, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010773 Issued in WA

Practice address

1424 S Bernard St
Spokane, WA 99203-2154

Phone

(509) 747-7166

NPI assigned

Jan 25, 2007

Last updated

Jan 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Hill Family Dental

  • Dental Clinic/Center
  • Spokane, WA
  • NPI 1265987663
  Authorized official Same address or phone

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1134274335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 S AUER ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992238331",
            "telephone_number": "509-951-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032154",
            "telephone_number": "509-747-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "KIMBERLY",
        "middle_name": "RICHARDS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003288",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Crandall, MD
• Darcie Crandall, SUDP
• Ginger Crandall, SUDPT
• Kayleigh D Crane, MD
• Deborah Ann Crass, CO61052263
• Michael Aaron Craven, PT, DPT
• Alexandra Lacy Cravens, MSW, LICSW
• William F Crawford-Heim, LMP
• Andrew Gray Crawford
• Desiree Crawford

• Dentist in Spokane, WA
• Providers in Spokane, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.