Individual provider Active NPI

Anitra Michelle Craig, D.D.S.

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1821136946
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6241 Issued in LA
Practice address
980 S Oliver Ave
Wichita, KS 67218-3216
Phone
(312) 226-7616
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8327 TN
General Practice Dentistry 1223G0001X 6900 OK
General Practice Dentistry 1223G0001X 6241 LA Primary

Addresses

Primary practice location

980 S Oliver Ave
Wichita, KS 67218-3216

Mailing address

980 S Oliver Ave
Wichita, KS 67218-3216
Phone (312) 226-7616

Other identifiers 1

IdentifierTypeStateIssuer
1862410MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606000745 LA Practitioner - Dentist 8224548524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6241LAMDGeneral Practice Dentistry
6900OKMDGeneral Practice Dentistry
8327TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivian Dental CurrentSince May 1, 2025 Accepting new patients

Locations

815 S Pine St
Vivian, LA 71082
Phone (318) 375-3239

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1821136946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 S OLIVER AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183216",
            "telephone_number": "312-226-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 S OLIVER AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183216",
            "telephone_number": "312-226-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "ANITRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8327",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6900",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1862410",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.