Craig D. Wendt, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

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

Organization subpart

No

Name

Craig D Wendt, M.D.

Title

Owner

Phone

(231) 547-2812

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 11, 2010.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3923873",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Morris Collier Jr., LMSW
• Erika R Collins, AT, PTA
• Robert Dennis Cook, RPH
• Bethany Cooper
• County of Charlevoix
• Jacqueline Jean Cresswell, DDS
• Daniel K Wilcox MD PC
• Thomas Bruce De Korte, DPM
• Michael Hubert Dennis
• Stephen Frederick Dewey, DDS

• All providers in Charlevoix, MI
• Specialist in Michigan

• 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.

Verify at the official NPI Registry.