Active NPI
Michael Craney, DMD
- Dentist
- Indianapolis, IN
National Provider Identifier
1760062053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12013770A
- Practice address
- 6225 W 56TH St Ste 100
Indianapolis, IN 46254-0002 - Phone
- (317) 293-3300
- NPI assigned
- Apr 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12013770A | IN | Primary |
Addresses
Primary practice location
6225 W 56TH St Ste 100
Indianapolis, IN 46254-0002
Mailing address
14230 Blanket Flower LN Apt 204
Noblesville, IN 46060-8730
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220818002585 | IN | Order and Referring Only - Dentist | 6507249869 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013770A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yorktown Dental, LLC | Dentist | Current | Accepting new patients |
| MFDC of Indiana, Inc | Past | Accepting new patients | |
| Kim E. Harris, D.D.S., P.C. | Past | Accepting new patients |
Locations
2001 S Tiger Dr
Yorktown, IN 47396
Phone (765) 759-2273
Organizations & group practices 3
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.
-
- Dentist
- Yorktown, IN
- NPI 1154148187
-
- General Practice Dentistry
- Indianapolis, IN
- NPI 1336218601
-
- General Practice Dentistry
- Indianapolis, IN
- NPI 1932694528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1760062053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14230 BLANKET FLOWER LN APT 204",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460608730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6225 W 56TH ST STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462540002",
"telephone_number": "317-293-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANEY",
"first_name": "MICHAEL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-11",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12013770A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.