Chad M. Cravatta, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D7052 Issued in AZ

Practice address

2220 W Southern Ave
Ste 101
Mesa, AZ 85202-4704

Phone

(480) 834-6005

Fax

(480) 464-8237

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Chad M Cravatta DMD Ms PLLC

  • Periodontics
  • Mesa, AZ
  • NPI 1760216816
  NPD Authorized official
• Mandeep Vermani DDS PLLC

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1235418161
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1457579302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W SOUTHERN AVE",
            "address_2": "STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024704",
            "telephone_number": "480-834-6005",
            "fax_number": "480-464-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W SOUTHERN AVE",
            "address_2": "STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024704",
            "telephone_number": "480-834-6005",
            "fax_number": "480-464-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVATTA",
        "first_name": "CHAD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AZ",
            "license": "D7052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paula Crawford
• Rustin W Crawford, D.O.
• CRD Partnership PLLC
• Staci Lynn Crear, BCBA
• Creative Health Care Services, Inc.

• Periodontics in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Periodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.