Craig Leonard Blogin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013580 Issued in MI

Practice address

2715 Packard St
Suite B
Ann Arbor, MI 48108-3336

Phone

(734) 975-6700

Fax

(734) 975-9035

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Craig L Blogin DDS PLC

  • Dentist
  • Ann Arbor, MI
  • NPI 1114087798
  NPD (past) Authorized official
• Laurich Dentistry Ann Arbor PLLC

  dba Laurich Dentistry Ann Arbor

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1699383695
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558570341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 PACKARD ST",
            "address_2": "SUITE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083336",
            "telephone_number": "734-975-6700",
            "fax_number": "734-975-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 PACKARD ST",
            "address_2": "SUITE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083336",
            "telephone_number": "734-975-6700",
            "fax_number": "734-975-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOGIN",
        "first_name": "CRAIG",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "013580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "D13580",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan G Blitz, MD
• C James Garnet Block
• Margery E. Block, M.S.,CCC-SLP
• Amber Blocker
• Thomas Bloem, DDS, MS
• Amanda R Blohm
• David Adam Bloom, MD
• David Alan Bloom, MD
• Gary Brian Bloomfield, DDS
• Blooming Minds Therapy

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• General Practice Dentistry in Michigan

• 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.