Active NPI
Craig S. Dacales, O.D.
- Optometrist
- Warrenton, VA
National Provider Identifier
1316952963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000631
- Practice address
- 700 James Madison Hwy
Warrenton, VA 20186-3828 - Phone
- (540) 216-0816
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000631 | VA | Primary |
Addresses
Primary practice location
700 James Madison Hwy
Warrenton, VA 20186-3828
Mailing address
14386 Newbern Loop
Gainesville, VA 20155-1478
Phone (571) 216-6419
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000631 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1316952963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14386 NEWBERN LOOP",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201551478",
"telephone_number": "571-216-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 JAMES MADISON HWY",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863828",
"telephone_number": "540-216-0816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACALES",
"first_name": "CRAIG",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.