Individual provider Active NPI

Craig M Cardon, DMD

  • General Practice Dentistry
  • Arvada, CO
National Provider Identifier
1598921876
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7563 Issued in AZ
Practice address
6410 Miller St # 15
Arvada, CO 80004
Phone
(720) 749-2711
Fax
(720) 925-5784
NPI assigned
Aug 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7563 AZ Primary

Addresses

Primary practice location

6410 Miller St # 15
Arvada, CO 80004

Mailing address

6410 Miller St # 15
Arvada, CO 80004-2833
Phone (720) 749-2711

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
D7563AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1598921876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 MILLER ST # 15",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042833",
            "telephone_number": "720-749-2711",
            "fax_number": "720-925-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 MILLER ST # 15",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80004",
            "telephone_number": "720-749-2711",
            "fax_number": "720-925-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDON",
        "first_name": "CRAIG",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.