Individual provider Active NPI

Craig James Downer, D.D.S.

  • Public Health Dentistry
  • Mt Pleasant, MI
National Provider Identifier
1861839540
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
2901020925 Issued in MI
Practice address
601 N Main St
Mt Pleasant, MI 48858-1535
Phone
(989) 773-7232
Fax
(989) 773-5573
NPI assigned
Jun 4, 2013
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 2901020925 MI Primary

Addresses

Primary practice location

601 N Main St
Mt Pleasant, MI 48858-1535

Mailing address

601 N Main St
Mt Pleasant, MI 48858-1535
Phone (989) 773-7232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418000377 MI Order and Referring Only - DentistPractitioner - Dentist 1951609437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020925MIMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig Downer DDS PLC CurrentSince Jun 12, 2022 Accepting new patients
Craig Downer DDS PLC CurrentSince Jun 12, 2022 Accepting new patients

Locations

601 N Main St
Mt Pleasant, MI 48858
Phone (989) 773-7232

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1861839540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N MAIN ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581535",
            "telephone_number": "989-773-7232",
            "fax_number": "989-773-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N MAIN ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581535",
            "telephone_number": "989-773-7232",
            "fax_number": "989-773-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNER",
        "first_name": "CRAIG",
        "middle_name": "JAMES",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MI",
            "license": "2901020925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.