Active NPI
Garrett Craigmiles, DDS
- General Practice Dentistry
- El Dorado Springs, MO
National Provider Identifier
1265161350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2022018728
- Practice address
- 605 E Hospital Rd Ste 1
El Dorado Springs, MO 64744-2028 - Phone
- (417) 876-3124
- NPI assigned
- Jun 6, 2022
- Last updated
- Jun 6, 2022
- 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 | 2022018728 | MO | Primary |
Addresses
Primary practice location
605 E Hospital Rd Ste 1
El Dorado Springs, MO 64744-2028
Mailing address
605 E Hospital Rd Ste 1
El Dorado Springs, MO 64744-2028
Phone (417) 876-3124
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 |
|---|---|---|---|
| 2022018728 | MO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1265161350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 E HOSPITAL RD STE 1",
"city": "EL DORADO SPRINGS",
"state": "MO",
"postal_code": "647442028",
"telephone_number": "417-876-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E HOSPITAL RD STE 1",
"city": "EL DORADO SPRINGS",
"state": "MO",
"postal_code": "647442028",
"telephone_number": "417-876-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIGMILES",
"first_name": "GARRETT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2022018728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado Springs, MO
- Jodie Renee Cole, LMSW
- Compass Health, Inc. (Pathways Community Behavioral Healthcare)
- Compass Health, Inc.
- Marie T Conner, CNS-BC
- County of Cedar Missouri (Cedar County Health Department)
- John Michael Dandurand, PHD, LPC
- Ashley N Daniels, LCSW
- El Dorado Springs Family Chiropractic, LLC
- El Dorado Springs Residential Care
- El Dorado Vision LLC (Vision Source El Dorado Springs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.