Clayton Thomas Craig, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12011846A Issued in IN

Practice address

3750 Guion Rd Ste 280
Indianapolis, IN 46222-1696

Phone

(765) 336-6694

NPI assigned

Aug 15, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Crossroads DSM LLC

  • Dental Clinic/Center
  • Indianapolis, IN
  • NPI 1215406053

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1760739288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W 52ND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462342810",
            "telephone_number": "765-335-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 GUION RD STE 280",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221696",
            "telephone_number": "765-336-6694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 N State St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461401402",
            "country_code": "US",
            "telephone_number": "317-462-9480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4960 S Emerson Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462035937",
            "country_code": "US",
            "telephone_number": "317-324-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "CLAYTON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011846A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig R Johnston MD Inc
• Craig Shouse DPM PC
• Craig Shouse DPM PC
• Adam Kyle Craig, M.S., LMHC
• Claudia Eve Craig, PA-C
• Connor Richard Craig
• Dale R Craig, LCSW
• David Houston Craig, ATC
• Dorothy Marie Craig, NP
• Erin G Craig, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.