John Ellis Craig, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN 7228 Issued in FL

Practice address

480 W Lowder St
Macclenny, FL 32063-2664

Phone

(904) 259-6291

Fax

(904) 259-4761

NPI assigned

Nov 20, 2006

Last updated

Jan 28, 2013By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• West Side Dental Associates

  dba Matthew J Henry DDS and Robert R Cowie DDS

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1841763539
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1720152192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 SAUTERNE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107728",
            "telephone_number": "904-771-0568",
            "fax_number": "904-771-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W LOWDER ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632664",
            "telephone_number": "904-259-6291",
            "fax_number": "904-259-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JOHN",
        "middle_name": "ELLIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 7228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Lee Copher, RN
• Thomas A Cornish
• County of Baker (Baker County EMS)
• Melissa Cox
• Shannon Coyle, FNP
• Crane Emergency Physicians
• Stephanie Melinda Crawford, ARNP
• Amber Renee Crews, APRN
• Marcheta Crews, ARNP
• Gauri Rahul Dalvi, M.D., PH.D

• Dentist in Macclenny, FL
• Providers in Macclenny, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.