Individual provider Active NPI

Craig Carlton Spangler, D.D.S.

  • General Practice Dentistry
  • Bloomfield Hills, MI
National Provider Identifier
1336244995
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901012158 Issued in MI
Practice address
4050 W Maple Rd
Suite 220
Bloomfield Hills, MI 48301-3148
Phone
(248) 645-9831
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12158 MI
General Practice Dentistry 1223G0001X 2901012158 MI Primary

Addresses

Primary practice location

4050 W Maple Rd
Suite 220
Bloomfield Hills, MI 48301-3148

Mailing address

3953 Cottontail LN
Bloomfield Hills, MI 48301-1909
Phone (248) 561-3507

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

LicenseStateTypeSpecialty
12158MIMDGeneral Practice Dentistry
2901012158MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Satinderdeep Kaur DMD, PLLC PastSince Aug 14, 2022 Accepting new patients
Michigan Sleep Wellness, PLLC PastSince May 12, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cspangler23789@direct.trinity-health.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1336244995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3953 COTTONTAIL LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011909",
            "telephone_number": "248-561-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MAPLE RD",
            "address_2": "SUITE 220",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013148",
            "telephone_number": "248-645-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "CRAIG",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12158",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.