Craniofacial Pain Clinic PC

Primary specialty

DentistTaxonomy code 122300000X

License

104945 Issued in CO

Legal business name

CRANIOFACIAL PAIN CLINIC PC

Practice address

3540 S Poplar St
Ste 301
Denver, CO 80237-1360

Phone

(303) 758-4865

Fax

(303) 756-8551

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Dee Rollins

Title

Manager

Phone

(303) 758-2980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Steven Wilk, DDS

  • Dentist
  • Denver, CO
  • NPI 1518903707
  Medicare reassignment NPD

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1366747016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 S POPLAR ST",
            "address_2": "STE 301",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371360",
            "telephone_number": "303-758-4865",
            "fax_number": "303-756-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S POPLAR ST",
            "address_2": "STE 301",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371360",
            "telephone_number": "303-758-4865",
            "fax_number": "303-756-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL PAIN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-758-2980"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "104945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Crane, NCC, LPC
• Lisa Crane
• Sherry Crane, LCSW
• Cranial Couture
• Craniofacial Diagnostic Center, PC C/O Stephen Winber, President
• Trisha Cranny, M.S., CCC-SLP
• James D Crapo, MD
• Brooke Caroline Craven, OTR
• Mariah Diane Cravens, COTA
• Christopher M Craver, CRNA

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.