Craniofacial Imaging Center

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

16067 Issued in OH

Legal business name

CRANIOFACIAL IMAGING CENTER

Practice address

10900 Euclid Ave
Case School of Dental Medicine - 3Rd Floor
Cleveland, OH 44106-1712

Phone

(216) 368-2674

Fax

(216) 368-3204

NPI assigned

Oct 19, 2006

Last updated

Aug 22, 2020By 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. Mark G Hans, DDS, MSD

Title

Chairman

Phone

(216) 368-4649

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841372935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 EUCLID AVE",
            "address_2": "CASE SCHOOL OF DENTAL MEDICINE - 3RD FLOOR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061712",
            "telephone_number": "216-368-2674",
            "fax_number": "216-368-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 EUCLID AVE",
            "address_2": "CASE SCHOOL OF DENTAL MEDICINE - 3RD FLOOR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061712",
            "telephone_number": "216-368-2674",
            "fax_number": "216-368-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "216-368-4649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "16067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jeanne Crane, RD
• Miquel Crane
• Tatiana Kathleen McAnulty Crane, MD
• Johnay Cranford
• Ana Crangle
• Kathryn Crankshaw, MD
• Geofia Shaina Crasta, MD
• Daniel I Craven, MD
• Danita C Craven
• Tramiya L Craven, APRN

• Orthodontics and Dentofacial Orthopedics Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.