Craig R Mundy DDS Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

CRAIG R MUNDY DDS INC

Practice address

5446 N Palm Ave Ste 101
Fresno, CA 93704-1945

Phone

(559) 753-1171

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Craig MundyNPI 1538292487

Title

Owner

Phone

(559) 261-9700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig R Mundy, DDS

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1538292487
  NPD Authorized official
• Claudia Ann Corgiat, PHD

  • Clinical Psychologist
  • Fresno, CA
  • NPI 1336485945
  NPD (past)
• Nina Diana Farley-Bates, L.C.S.W., D.B.H

  • Clinical Social Worker
  • Oakhurst, CA
  • NPI 1346448651
  NPD (past)
• Garrick John Richardson

  • Clinical Social Worker
  • Fresno, CA
  • NPI 1154603082
  NPD (past)

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1285324244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5446 N PALM AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041945",
            "telephone_number": "559-753-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5446 N PALM AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041945",
            "telephone_number": "559-753-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG R MUNDY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "MUNDY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-261-9700"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Courteney Cox, P.T.A.
• Christian Coye
• Virginia Coyle
• CPP 435Skin PC
• Karen Jo Craft, PSY.D.
• Kaira Crain
• Nathan Allen Crain, CI40861123
• Jeff Crane, PHD, LMFT
• Kimberly Cranford, M.D.
• Cranial Technologies, Inc.

• Customized Equipment (DME) in Fresno, CA
• Providers in Fresno, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.