Craig Healy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DW034710 Issued in CA

Practice address

1500 Tara Hills Dr
Suite 200
Pinole, CA 94564-2577

Phone

(510) 724-7575

Fax

(510) 724-1599

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316157639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 LOMA AVE",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949201971",
            "telephone_number": "415-435-1057",
            "fax_number": "415-435-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TARA HILLS DR",
            "address_2": "SUITE 200",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642577",
            "telephone_number": "510-724-7575",
            "fax_number": "510-724-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DW034710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourosh Harandi, DDS., MS.
• Evelyn Duenas Harris, LCSW
• Tomohiro Hayashi
• Healthy Lifestyles and Prescriptive Exercise
• Healthy Living Clinic, a Nursing Corporation
• Hearts and Hands LLC (Visiting Angels)
• Rhonda Diane Heise
• Alexandra Hernandez Vega
• Kevin Hernandez
• Ulissa Hernandez

• General Practice Dentistry in Pinole, CA
• Providers in Pinole, CA by specialty
• General Practice Dentistry in California

• 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.

Verify at the official NPI Registry.