Craig Duhaime, D.D.S., M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

30022110 Issued in OH

Practice address

1129 E Aurora Rd
Suite 102
Macedonia, OH 44056-1988

Phone

(330) 908-0404

Fax

(330) 908-0142

NPI assigned

Sep 12, 2007

Last updated

Sep 12, 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

Medicare fee-for-service enrollment

Enrolled in MI

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

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.

• Southwest Endodontics & Periodontics

  • Endodontics
  • Broadview Heights, OH
  • NPI 1437180247
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1780879734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W WALLINGS RD",
            "address_2": "SUITE B",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471200",
            "telephone_number": "440-546-1116",
            "fax_number": "440-546-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 E AURORA RD",
            "address_2": "SUITE 102",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561988",
            "telephone_number": "330-908-0404",
            "fax_number": "330-908-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUHAIME",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30022110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selina Dickenson
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• Renee Dravis, R.PH
• Drayer Physical Therapy Institute LLC
• Pamela Dupont
• Stephanie Durbin, DPT
• Ebm Eyecare LLC (Paris Opticians)
• Brian Edwards
• Matthew Englehart, PHARM D

• Endodontics in Macedonia, OH
• Providers in Macedonia, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.