Active NPI
Craig a. Schlie, DDS, Inc.
- General Practice Dentistry
- Redding, CA
National Provider Identifier
1215149166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27366
- Legal business name
- CRAIG A. SCHLIE, DDS, INC.
- Practice address
- 405 South Street
Suite a
Redding, CA 96001-2101 - Phone
- (530) 244-6054
- Fax
- (530) 244-6056
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig Allen Schlie, D.D.S.
- Title
- Ceo
- Phone
- (530) 244-6054
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27366 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 5995 | NE |
Addresses
Primary practice location
405 South Street
Suite a
Redding, CA 96001-2101
Mailing address
405 South Street
Suite a
Redding, CA 96001-2101
Phone (530) 244-6054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B27366-02 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
405 South St
Ste A
Redding, CA 96001
Phone (530) 244-6054
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": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215149166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 SOUTH STREET",
"address_2": "SUITE A",
"city": "REDDING",
"state": "CA",
"postal_code": "960012101",
"telephone_number": "530-244-6054",
"fax_number": "530-244-6056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 SOUTH STREET",
"address_2": "SUITE A",
"city": "REDDING",
"state": "CA",
"postal_code": "960012101",
"telephone_number": "530-244-6054",
"fax_number": "530-244-6056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG A. SCHLIE, DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHLIE",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "530-244-6054",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "27366",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "5995",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B27366-02",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
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.