Craig Alan Light, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008320A Issued in IN

Practice address

1014 E 8TH St
Anderson, IN 46012-4027

Phone

(765) 643-1524

Fax

(765) 643-1549

NPI assigned

Feb 6, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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 a. Light, DDS, PC

  • Dental Clinic/Center
  • Anderson, IN
  • NPI 1629945761
  NPD Authorized official
• Craig a. Light, DDS, PC

  • Dental Clinic/Center
  • Anderson, IN
  • NPI 1689549339
  NPD Authorized official
• Craig a. Light, D.D.S., P.C.

  • Dentist
  • Anderson, IN
  • NPI 1649644600
  Authorized official Same address or phone

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700858453",
    "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",
            "fax_number": "765-643-1549"
        },
        {
            "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",
            "fax_number": "765-643-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008320A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "732901",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ching Li, M.D.
• Kevin Liebrum, CRNA
• Lifeline Medical Center
• Lifetime Dental Care of Indiana, PC (Complete Family Dental Care)
• Austin-Ian Light
• Addison Limbrock
• Yun Lin, PTA
• Lincare Inc.
• Abby D Lindsey, OTR
• Lindsay Lines

• General Practice Dentistry in Anderson, IN
• Providers in Anderson, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.