Michael Kale Craig, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5069 Issued in OK

Practice address

900 E Cherokee St
Wagoner, OK 74467-4718

Phone

(918) 485-2200

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wagoner Family Dentistry, PC

  • Dentist
  • Wagoner, OK
  • NPI 1821276817
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871613596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674718",
            "telephone_number": "918-485-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674718",
            "telephone_number": "918-485-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "MICHAEL",
        "middle_name": "KALE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma C Cobb, C.A.D.C.
• Harry O Colbert III
• Myrtle L Collins
• Ethan Garret Colwell
• Sandra Cooper
• Regenna Craig
• Debra Ann Crawford
• Michael Ellis Crawford
• Jennifer Grace Crawley
• Creoks Mental Health Services

• General Practice Dentistry in Wagoner, OK
• Providers in Wagoner, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.