Organization Active NPI

Dan D. Craige, D.D.S., Inc.

  • Dentist
  • Durant, OK
National Provider Identifier
1366455297
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4102 Issued in OK
Legal business name
DAN D. CRAIGE, D.D.S., INC.
Practice address
203 N 16TH Ave
Durant, OK 74701-3607
Phone
(580) 924-2206
Fax
(580) 924-2215
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dan D. Craige, D.D.S.
Title
President/Owner
Phone
(580) 924-2206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4102 OK Primary

Addresses

Primary practice location

203 N 16TH Ave
Durant, OK 74701-3607

Mailing address

203 N 16TH Ave
Durant, OK 74701-3607
Phone (580) 924-2206

National Provider Directory

National Provider Directory

Locations

203 N 16th Ave
Durant, OK 74701
Phone (580) 924-2730

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366455297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N 16TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013607",
            "telephone_number": "580-924-2206",
            "fax_number": "580-924-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N 16TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013607",
            "telephone_number": "580-924-2206",
            "fax_number": "580-924-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN D. CRAIGE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAIGE",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "580-924-2206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.