Individual provider Active NPI

Garrett Craigmiles, DDS

  • General Practice Dentistry
  • El Dorado Springs, MO
National Provider Identifier
1265161350
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2022018728 Issued in MO
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2022018728MOMDGeneral 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

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.

Verify at the official NPI Registry.