Craig C. Longenecker DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CRAIG C. LONGENECKER DDS PA

Practice address

16928 York Rd
Monkton, MD 21111-1042

Phone

(410) 357-0099

NPI assigned

Apr 30, 2015

Last updated

Apr 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig Charles Longenecker, D.D.S.NPI 1932381977

Title

Owner

Phone

(443) 904-7836

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Longenecker, DDS

  • Dentist
  • Monkton, MD
  • NPI 1932381977
  NPD (past) Authorized official

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1821475633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16928 YORK RD",
            "city": "MONKTON",
            "state": "MD",
            "postal_code": "211111042",
            "telephone_number": "410-357-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16928 YORK RD",
            "city": "MONKTON",
            "state": "MD",
            "postal_code": "211111042",
            "telephone_number": "410-357-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG C. LONGENECKER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "LONGENECKER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-904-7836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSEE",
            "identifier": "11730",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1932381977",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Brown, RN
• Daniel Patrick Burke, MBA, NRP
• Irene Burks, LGPC
• Harry Samuel Calvert, LGPC
• Lisa Salladin Childs, MSW
• Page McDonald Crosby
• Camra S Davis, LGPC
• Candiss Ann Dominick, PHARMD
• Dono Biofeedback LLC
• Eliza Carmen Gould, CNM

• General Practice Dentistry in Monkton, MD
• Providers in Monkton, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.