Craig Edelheit, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15817 Issued in MI

Practice address

23020 Power Rd
Farmington, MI 48336-3247

Phone

(248) 476-0383

Fax

(248) 476-0383

NPI assigned

Jul 5, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benson Dental LLC

  • General Practice Dentistry
  • Wyandotte, MI
  • NPI 1477260750
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316978943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30435 HELMANDALE DR",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251528",
            "telephone_number": "734-285-2575",
            "fax_number": "734-285-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23020 POWER RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363247",
            "telephone_number": "248-476-0383",
            "fax_number": "248-476-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 Ford Ave",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "481923826",
            "country_code": "US",
            "telephone_number": "734-285-2575",
            "fax_number": "734-285-2758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELHEIT",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Drake, LLPC
• Abigail Dull, PT, DPT, CBIS
• Katherine Dumsa
• Duratech Medical Inc.
• Dynamic Life of Michigan, LLC
• Michelle Eggenberger
• Eliezer Monge, M.D., P.C.
• Jacqueline Renee Elster, PSY.D.
• Envision Home Care, LLC
• Edward Essayan, DDS

• General Practice Dentistry in Farmington, MI
• Providers in Farmington, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.