Active NPI
Craig Carlton Spangler, D.D.S.
- General Practice Dentistry
- Bloomfield Hills, MI
National Provider Identifier
1336244995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901012158
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12158 | MI | MD | General Practice Dentistry |
| 2901012158 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Satinderdeep Kaur DMD, PLLC | Past | Accepting new patients | |
| Michigan Sleep Wellness, PLLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield Hills, MI
- NPI 1619725389
-
- Dental Clinic/Center
- Bloomfield Hills, MI
- NPI 1861120206
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.