Individual provider Active NPI

Dennis Ray Craft, DC

  • Chiropractor
  • Charlotte, MI
National Provider Identifier
1174586259
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005297 Issued in MI
Practice address
223 Lansing St
Charlotte, MI 48813-1605
Phone
(517) 543-1115
Fax
(517) 543-3290
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005297 MI Primary

Addresses

Primary practice location

223 Lansing St
Charlotte, MI 48813-1605

Mailing address

223 Lansing St
PO Box 236
Charlotte, MI 48813-1605
Phone (517) 543-1115

Other identifiers 2

IdentifierTypeStateIssuer
2710757MedicaidMI
950B310230OtherMIBCBS OF MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000041 MI Practitioner - Chiropractic 8820079346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craft Chiropractic Center PC 4 clinicians

Practice addresses (Care Compare)

223 Lansing St
Charlotte, MI 48813-1605
Phone (517) 543-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301005297MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Craft Chiropractic Center PC Chiropractor Current Accepting new patients
Craft Chiropractic Center PC Chiropractor Past Accepting new patients
Craft Chiropractic Center PC Chiropractor Past Accepting new patients

Locations

223 Lansing St
Charlotte, MI 48813
Phone (517) 543-1115

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1174586259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 LANSING ST",
            "address_2": "PO BOX 236",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131605",
            "telephone_number": "517-543-1115",
            "fax_number": "517-543-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 LANSING ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131605",
            "telephone_number": "517-543-1115",
            "fax_number": "517-543-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "DENNIS",
        "middle_name": "RAY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2710757",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "950B310230",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.