Craig McMullen, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901022312 Issued in MI

Practice address

10192 Grand River Rd Ste 101
Brighton, MI 48116-6516

Phone

(810) 220-1700

NPI assigned

Oct 14, 2020

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Thomas a. Hamway, DDS, Ms & Timothy G. Stroster, DDS, Ms, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brighton, MI
  • NPI 1124230792
  NPD (past)
• Twelve Oaks Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Novi, MI
  • NPI 1295110856
  NPD (past)

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621123200000",
    "number": "1952909707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10192 GRAND RIVER RD STE 101",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166516",
            "telephone_number": "810-220-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10192 GRAND RIVER RD STE 101",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166516",
            "telephone_number": "810-220-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44110 W 12 Mile Rd # 100",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483772614",
            "country_code": "US",
            "telephone_number": "248-306-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "CRAIG",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901022312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Allen McKee, MD
• Claire McKeone
• McLaughlin Inc.
• Michael McLaughlin, OD
• Margaret McMahon, CNP
• Deland Maurice McMullen, MSW
• Haley McNabb, PA-C
• Andrea McNally
• Greg McQuaid, LPTA
• Michael McQuillan, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in Brighton, MI
• Providers in Brighton, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; 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.