Richard Creaghe, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

35704 Issued in CA

Practice address

1099 D St
Suite #206
San Rafael, CA 94901-2829

Phone

(415) 453-0744

Fax

(415) 453-5554

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1881814747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 D ST",
            "address_2": "SUITE #206",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012829",
            "telephone_number": "415-453-0744",
            "fax_number": "415-453-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 D ST",
            "address_2": "SUITE #206",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012829",
            "telephone_number": "415-453-0744",
            "fax_number": "415-453-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAGHE",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseanna Carol Crane, LAC
• Stanley Scott Crask, BA
• Vanessa Rosalba Craviotto-Guzman
• Aarin Crawford
• Erin Crawford
• Mariya Cree
• Alexis Marie Crissey
• Christina Crittenden
• Melissa Kay Crochet, M.D.
• Devon Croft, PPS

• Dentist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.