Active NPI
Craig S Puffer, D.D.S.
- General Practice Dentistry
- Tipton, IA
National Provider Identifier
1245307339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08164
- Practice address
- 100 Commerce Blvd
Tipton, IA 52772 - Phone
- (563) 886-1800
- Fax
- (563) 886-1888
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08164 | IA | Primary |
Addresses
Primary practice location
100 Commerce Blvd
Tipton, IA 52772
Mailing address
100 Commerce Blvd
Tipton, IA 52772
Phone (563) 886-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08164 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Ridge Dental of Tipton | General Practice | Current | Accepting new patients |
Locations
100 Commerce Blvd
Tipton, IA 52772
Phone (563) 886-1800
Organizations & group practices 1
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": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245307339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COMMERCE BLVD",
"city": "TIPTON",
"state": "IA",
"postal_code": "52772",
"telephone_number": "563-886-1800",
"fax_number": "563-886-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COMMERCE BLVD",
"city": "TIPTON",
"state": "IA",
"postal_code": "52772",
"telephone_number": "563-886-1800",
"fax_number": "563-886-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUFFER",
"first_name": "CRAIG",
"middle_name": "S",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tipton, IA
- Jane Elizabeth Osborn, PHARM D, RPH
- Kellynne Oxley
- Prairie Hills at Tipton Operations, LLC
- Progressive Rehab Chiropractic, L.L.C.
- Progressive Rehab Chiropractic,LLC
- Katherine Lynn Ruefer, PTA
- Elizabeth Shumaker, PHARMD
- Barbara Jean Smith, DDS
- St Luke'S Jones Regional Medical Center
- Stephanie King Steffen, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.