NPIMap

Organization Active NPI

Mackenzie H. Craik, DDS, PLLC

  • Pediatric Dentistry
  • Walla Walla, WA
National Provider Identifier
1396134862
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE60459114 Issued in WA
Legal business name
MACKENZIE H. CRAIK, DDS, PLLC
Doing business as
Craik Pediatric Dentistry
Practice address
2014 S Howard St Ste a
Walla Walla, WA 99362-4532
Phone
(509) 525-7336
NPI assigned
Jan 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Mackenzie Craik, D.D.S.
Title
Doctor/Owner
Phone
(206) 683-4295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DE60459114 WA Primary

Addresses

Primary practice location

2014 S Howard St Ste a
Walla Walla, WA 99362-4532

Mailing address

2014 S Howard St Ste a
Walla Walla, WA 99362-4532
Phone (509) 525-7336

Other names 1

  • Craik Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1396134862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 S HOWARD ST STE A",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624532",
            "telephone_number": "509-525-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S HOWARD ST STE A",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624532",
            "telephone_number": "509-525-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKENZIE H. CRAIK, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "CRAIK",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "206-683-4295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60459114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craik Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.