Craig a. Light, D.D.S., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

12008320A Issued in IN

Legal business name

CRAIG A. LIGHT, D.D.S., P.C.

Practice address

1014 E 8TH St
Anderson, IN 46012-4027

Phone

(765) 643-1524

NPI assigned

Nov 13, 2015

Organization subpart

No

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

Authorized official

Name

Craig Light, D.D.S.

Title

Owner-Pres.

Phone

(765) 643-1524

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1649644600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 E 8TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124027",
            "telephone_number": "765-643-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 E 8TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124027",
            "telephone_number": "765-643-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG A. LIGHT, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER-PRES.",
        "authorized_official_telephone_number": "765-643-1524",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008320A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100172070A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Anne Cox, LCSW
• Bonita I. Cox, MSW, LCSW
• Glendon Keith Cox, D.MIN.
• John William Cox, RPH
• Madison Cox
• Craig a. Light, DDS, PC
• Craig a. Light, DDS, PC
• Craig Groninger
• Harmony Leigh Craig, RBT
• Kimberly Anne Craig, FNP-C

• Dentist in Anderson, IN
• Providers in Anderson, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.