Organization Active NPI

Joseph G. Craig DDS., LTD

  • Dental Clinic/Center
  • Elmwood Park, IL
National Provider Identifier
1164578605
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSEPH G. CRAIG DDS., LTD
Practice address
17 W Conti Pkwy
Elmwood Park, IL 60707-4505
Phone
(708) 453-4380
Fax
(708) 453-7326
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Craig, DDSNPI 1417332974
Title
Pres.
Phone
(708) 453-4380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X IL Primary

Addresses

Primary practice location

17 W Conti Pkwy
Elmwood Park, IL 60707-4505

Mailing address

17 W Conti Pkwy
Elmwood Park, IL 60707-4505
Phone (708) 453-4380

National Provider Directory

National Provider Directory

Locations

17 W Conti Pkwy
Elmwood Park, IL 60707
Phone (708) 453-4380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164578605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W CONTI PKWY",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074505",
            "telephone_number": "708-453-4380",
            "fax_number": "708-453-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W CONTI PKWY",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074505",
            "telephone_number": "708-453-4380",
            "fax_number": "708-453-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH G. CRAIG DDS., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "708-453-4380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.