NPIMap

Organization Active NPI

Dental Sleep Center Richard a Craig DDS LTD

  • Dental Clinic/Center
  • Lombard, IL
National Provider Identifier
1306177241
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD
Practice address
2500 S Highland Ave Ste 220
Lombard, IL 60148-7103
Phone
(630) 218-1920
Fax
(815) 744-7059
NPI assigned
Jan 15, 2010
Organization subpart
Yes
Parent organization
DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Dr. Richard Allen Craig, D.D.S.
Title
President
Phone
(815) 483-2980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2500 S Highland Ave Ste 220
Lombard, IL 60148-7103

Mailing address

14831 W 159TH St Ste 1
Lockport, IL 60491-9008
Phone (630) 218-1920

Other identifiers 8

IdentifierTypeStateIssuer
1265442073OtherNPI BRIAN PRENTICE DDS
1053431981OtherNPI GROUP
1124041769OtherNPI RICHARD CRAIG DDS
1750599494OtherNPI KATHRYN VALCARENGHI DDS
1053423285OtherNPI KEVIN WALLACE DMD
1265538458OtherNPI JONATHAN LOWN MD
1447468178OtherNPI IVAN VALCARENGHI DDS
1790843399OtherNPI ANGELA PLANER VENEGONI

Other names 1

  • Midwest Dental Sleep Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110118000558 IL DME Supplier - Oral Surgery - Dentist 8820287121 Practice locations: Lombard, IL
O20110301000138 IL Part B Supplier - Clinic/Group Practice 8820287121 Receives reassigned benefits from 8 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL; Homer Glen, IL; Lombard, IL; Skokie, IL; South Barrington, IL

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Charles Lockhart DDS7 organizations share this tax ID, including this one
Part of
Charles Lockhart DDS

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7501 Lemont Rd
Ste 300
Woodridge, IL 60517
Phone 6303245369105

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1306177241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14831 W 159TH ST STE 1",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604919008",
            "telephone_number": "630-218-1920",
            "fax_number": "815-744-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVE STE 220",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487103",
            "telephone_number": "630-218-1920",
            "fax_number": "815-744-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL SLEEP CENTER RICHARD A CRAIG DDS LTD",
        "enumeration_date": "2010-01-15",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-483-2980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BRIAN PRENTICE DDS",
            "identifier": "1265442073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1053431981",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RICHARD CRAIG DDS",
            "identifier": "1124041769",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI KATHRYN VALCARENGHI DDS",
            "identifier": "1750599494",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI KEVIN WALLACE DMD",
            "identifier": "1053423285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JONATHAN LOWN MD",
            "identifier": "1265538458",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI IVAN VALCARENGHI DDS",
            "identifier": "1447468178",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ANGELA PLANER VENEGONI",
            "identifier": "1790843399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Dental Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.