NPIMap

Organization Active NPI

G Bryon Craig PLLC

Doing business as craig dental group

  • Health Maintenance Organization
  • Redmond, WA
National Provider Identifier
1811448277
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
10472 Issued in WA
Legal business name
G BRYON CRAIG PLLC
Doing business as
craig dental group
Practice address
15955 NE 85TH St
Suite 201
Redmond, WA 98052-3550
Phone
(425) 882-2444
Fax
(425) 867-0444
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
G Bryon Craig, DDS
Title
Owner/Dentist
Phone
(425) 882-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 10472 WA Primary

Addresses

Primary practice location

15955 NE 85TH St
Suite 201
Redmond, WA 98052-3550

Mailing address

15955 NE 85TH St
Suite 201
Redmond, WA 98052
Phone (425) 882-2444

Other names 1

  • craig dental group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Craig Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15955 NE 85th St
Ste 201
Redmond, WA 98052
Phone (425) 882-2444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1811448277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 NE 85TH ST",
            "address_2": "SUITE 201",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "425-882-2444",
            "fax_number": "425-867-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 NE 85TH ST",
            "address_2": "SUITE 201",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523550",
            "telephone_number": "425-882-2444",
            "fax_number": "425-867-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G BRYON CRAIG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "BRYON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "425-882-2444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "10472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "craig dental group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.