Organization Active NPI

Cranio Mandibular Affiliates

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Midland, TX
National Provider Identifier
1881832509
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CRANIO MANDIBULAR AFFILIATES
Practice address
4214 Andrews Hwy
Ste-307
Midland, TX 79703-4822
Phone
(432) 522-3546
Fax
(432) 522-1882
NPI assigned
Feb 3, 2009
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Dr. Grant E Giles, DDSNPI 1083621692
Title
Owner
Phone
(432) 522-3546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4214 Andrews Hwy
Ste-307
Midland, TX 79703-4822

Mailing address

4214 Andrews Hwy
Ste-307
Midland, TX 79703-4822
Phone (432) 522-3546

Other identifiers 1

IdentifierTypeStateIssuer
1083621692OtherNONE

National Provider Directory

National Provider Directory

Locations

4214 Andrews Hwy
Ste 307
Midland, TX 79703
Phone (432) 522-3546

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1881832509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY",
            "address_2": "STE-307",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034822",
            "telephone_number": "432-522-3546",
            "fax_number": "432-522-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY",
            "address_2": "STE-307",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034822",
            "telephone_number": "432-522-3546",
            "fax_number": "432-522-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIO MANDIBULAR AFFILIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-522-3546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "1083621692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.