John R Cramer, DDS MD

Primary specialty

DentistTaxonomy code 122300000X

License

3835 Issued in KY

Practice address

3141 Beaumont Centre Cir
Ste 103
Lexington, KY 40513-1934

Phone

(859) 219-1913

Fax

(859) 219-1317

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Southeast Oral and Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Corbin, KY
  • NPI 1629180252
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609866102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 BEAUMONT CENTRE CIR",
            "address_2": "STE 103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131934",
            "telephone_number": "859-219-1913",
            "fax_number": "859-219-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 BEAUMONT CENTRE CIR",
            "address_2": "STE 103",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131934",
            "telephone_number": "859-219-1913",
            "fax_number": "859-219-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "3835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64180185",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew James Craig, M.D.
• Sara Elise Craig, SLP
• Daniel Crain
• Sarah Crain, MS, CCC/SLP
• Liza S Crall, ARNP
• Elizabeth Crance, PA-C
• Jennifer Davis Crane, MD
• Katherine B Cranfill, PA-C
• William Crankshaw, M.D.
• Ryan Louis Crass, PHARM.D.

• Dentist in Lexington, KY
• Providers in Lexington, KY by specialty
• Dentist in Kentucky

• 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.