Active NPI
Craig D. Wendt, M.D.
- Specialist
- Charlevoix, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CRAIG D. WENDT, M.D.
- Practice address
- 14695 Park Ave
Charlevoix, MI 49720-1929 - Phone
- (231) 547-2812
- Fax
- (231) 547-3067
- NPI assigned
- Jun 27, 2007
- Last updated
- Feb 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig D Wendt, M.D.
- Title
- Owner
- Phone
- (231) 547-2812
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
14695 Park Ave
Charlevoix, MI 49720-1929
Mailing address
14695 Park Ave
Charlevoix, MI 49720-1929
Phone (231) 547-2812
National Provider Directory
National Provider DirectoryLocations
14695 Park Ave
Charlevoix, MI 49720
Phone (231) 547-2812
Practitioners & affiliated clinicians
Practitioners 1
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.
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- Shawano, WI
- NPI 1174550206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265846400000",
"number": "1942407705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14695 PARK AVE",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201929",
"telephone_number": "231-547-2812",
"fax_number": "231-547-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14695 PARK AVE",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201929",
"telephone_number": "231-547-2812",
"fax_number": "231-547-3067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIG D. WENDT, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2010-02-11",
"status": "A",
"authorized_official_last_name": "WENDT",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-547-2812",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlevoix, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.