Individual provider Active NPI

B. Casey Crafton, D.D.S., M.S.

  • Pediatric Dentistry
  • Columbia, MD
National Provider Identifier
1427176916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
09863 Issued in MD
Practice address
10380 Old Columbia Rd Ste 102
Columbia, MD 21046-2005
Phone
(410) 381-0900
Fax
(410) 381-7960
NPI assigned
Mar 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 09863 MD Primary

Addresses

Primary practice location

10380 Old Columbia Rd Ste 102
Columbia, MD 21046-2005

Mailing address

4231 Leland St
Chevy Chase, MD 20815-6048
Phone (301) 657-7829

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
09863MDMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
B. Casey Crafton DDS Ms PC Current Accepting new patients

Locations

10380 Old Columbia Rd
Ste 102
Columbia, MD 21046
Phone (410) 381-0900

Interoperability endpoints

  • Direct secure messaging: bcrafton1391@direct.umm.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427176916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 LELAND ST",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156048",
            "telephone_number": "301-657-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10380 OLD COLUMBIA RD STE 102",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462005",
            "telephone_number": "410-381-0900",
            "fax_number": "410-381-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFTON",
        "first_name": "B.",
        "middle_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "09863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.