Randall J Crammond, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021001076 Issued in IL

Practice address

815 E 5TH St
Suite 411
Alton, IL 62002-6471

Phone

(618) 462-1646

NPI assigned

Feb 23, 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

Not listed in the public Medicare enrollment file

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.

• Crammond & Helden LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Alton, IL
  • NPI 1538295522
  NPD (past) Authorized official
• Bi-State Oral and Facial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Alton, IL
  • NPI 1669824439
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1215063573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PARIS DR",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E 5TH ST",
            "address_2": "SUITE 411",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026471",
            "telephone_number": "618-462-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMMOND",
        "first_name": "RANDALL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021001076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tod Cousett
• Amy Christine Cox, RN
• Jennifer Lynne Craig, MA, LCPC
• Michelle Cramer, AU.D.
• Crammond & Helden LTD
• Amanda Kay Crane, PHARM D
• Natalie Crane
• Madyson Anglim Crnkovich, DDS
• Debra Cunningham, CNM, CWHNP
• Kelsey Michele Cunningham, PT, DPT

• Oral and Maxillofacial Surgery (Dentist) in Alton, IL
• Providers in Alton, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.