Active NPI
Mark E. Cramer, D.M.D.
- General Practice Dentistry
- Windsor, CT
National Provider Identifier
1790966687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 003639
- Practice address
- 1060 Day Hill Rd
Windsor, CT 06095-5719 - Phone
- (860) 688-5595
- Fax
- (860) 688-7403
- NPI assigned
- Nov 19, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 003639 | CT | Primary |
Addresses
Primary practice location
1060 Day Hill Rd
Windsor, CT 06095-5719
Mailing address
1060 Day Hill Rd
Windsor, CT 06095-5719
Phone (860) 688-5595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003639 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1790966687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 DAY HILL RD",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060955719",
"telephone_number": "860-688-5595",
"fax_number": "860-688-7403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 DAY HILL RD",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060955719",
"telephone_number": "860-688-5595",
"fax_number": "860-688-7403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMER",
"first_name": "MARK",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "003639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.