Individual provider Active NPI

William Craggs, CPO

  • Orthotist
  • Oak Park, IL
National Provider Identifier
1457724700
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
213.000141 Issued in IL
Practice address
214 Chicago Ave
Oak Park, IL 60302-2310
Phone
(708) 848-4646
Fax
(708) 848-1341
NPI assigned
Nov 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X 213.000141 IL Primary
Prosthetist 224P00000X 211.000099 IL

Addresses

Primary practice location

214 Chicago Ave
Oak Park, IL 60302-2310

Mailing address

214 Chicago Ave
Oak Park, IL 60302-2310
Phone (708) 848-4646

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

State licenses

LicenseStateTypeSpecialty
213.000141ILMDOrthotist
211.000099ILMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dreher Orthopedic Industries, Inc. Orthotist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1457724700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022310",
            "telephone_number": "708-848-4646",
            "fax_number": "708-848-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022310",
            "telephone_number": "708-848-4646",
            "fax_number": "708-848-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAGGS",
        "first_name": "WILLIAM",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213.000141",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "211.000099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.