Individual provider Active NPI

Craig T. Steichen, DDS

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1346498722
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1629 Issued in NM
Practice address
7131 Prospect PL NE
Albuquerque, NM 87110-4313
Phone
(505) 883-6562
Fax
(505) 883-8634
NPI assigned
Aug 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X DD1629 NM
Dentist 122300000X 1629 NM Primary

Addresses

Primary practice location

7131 Prospect PL NE
Albuquerque, NM 87110-4313

Mailing address

7131 Prospect PL NE
Albuquerque, NM 87110-4313
Phone (505) 883-6562

Other identifiers 1

IdentifierTypeStateIssuer
1326181587OtherNMTYPE 2 NPI #

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
1629NMMDDentist
DD1629NMMDCustomized Equipment (DME)

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1346498722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 PROSPECT PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104313",
            "telephone_number": "505-883-6562",
            "fax_number": "505-883-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 PROSPECT PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104313",
            "telephone_number": "505-883-6562",
            "fax_number": "505-883-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEICHEN",
        "first_name": "CRAIG",
        "middle_name": "T.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NM",
            "license": "DD1629",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "1629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI #",
            "identifier": "1326181587",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.