Individual provider Active NPI

Craig W Anderson, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Allentown, PA
National Provider Identifier
1760043202
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS044511 Issued in PA
Practice address
1275 S Cedar Crest Blvd Ste 1
Allentown, PA 18103-6242
Phone
(612) 624-8600
NPI assigned
Jun 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS044511 PA Primary

Addresses

Primary practice location

1275 S Cedar Crest Blvd Ste 1
Allentown, PA 18103-6242

Mailing address

1321 N New St
Bethlehem, PA 18018-2400
Phone (610) 861-7406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250325003619 PA Practitioner - Oral Surgery 7416353479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Medical University of South Carolina College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Oral Surgery PCGroup PAC ID 8921912635, 4 clinicians

Practice addresses (Care Compare)

1321 N New St
Bethlehem, PA 18018-2400
Phone (610) 861-0648

5666 Interchange Rd
Lehighton, PA 18235-5114
Phone (484) 629-8300

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS044511PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oral Surgery PC Oral and Maxillofacial Surgery CurrentSince Jan 13, 2025 Accepting new patients

Locations

1275 S Cedar Crest Blvd
Ste 1
Allentown, PA 18103
Phone (610) 437-1727

1321 N New St
Bethlehem, PA 18018
Phone (610) 461-0648

5666 Interchange Rd
Lehighton, PA 18235
Phone (484) 629-8300

Interoperability endpoints

  • Direct secure messaging: canderson1131904@direct2.lvhn.org

Organizations & group practices 1

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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1760043202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N NEW ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182400",
            "telephone_number": "610-861-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S CEDAR CREST BLVD STE 1",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036242",
            "telephone_number": "612-624-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CRAIG",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS044511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.