Individual provider Active NPI

Thomas B Cranfill, DMD

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1952469702
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7590 Issued in KY
Practice address
12907 Factory LN Ste B
Louisville, KY 40245-5433
Phone
(502) 243-9200
Fax
(502) 243-9285
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7590 KY Primary

Addresses

Primary practice location

12907 Factory LN Ste B
Louisville, KY 40245-5433

Mailing address

12907 Factory LN Ste B
P. O. Box 23306
Louisville, KY 40245-5433
Phone (502) 243-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20170105000775 KY Practitioner - Oral Surgery 2668753021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7590KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Special Care Dental WV PLLC General Practice Current Accepting new patients
Thomas B. Cranfill & Assoc. PSC Dba Anchorage Dental Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

209 Washington St W
Charleston, WV 25302
Phone 24852821166

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1952469702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12907 FACTORY LN STE B",
            "address_2": "P. O. BOX 23306",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455433",
            "telephone_number": "502-243-9200",
            "fax_number": "502-243-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12907 FACTORY LN STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455433",
            "telephone_number": "502-243-9200",
            "fax_number": "502-243-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANFILL",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.