NPIMap

Organization Active NPI

Craygraft LLC

Doing business as Premiere Dental

  • General Practice Dentistry
  • Alabaster, AL
National Provider Identifier
1962687608
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5013 Issued in AL
Legal business name
CRAYGRAFT LLC
Doing business as
Premiere Dental
Practice address
9200 Highway 119
Suite 200
Alabaster, AL 35007-5337
Phone
(205) 621-5304
NPI assigned
Dec 31, 2007
Last updated
Jan 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Dr. Andrew Jonathan Craft, DMDNPI 1992997621
Title
Member
Phone
(205) 621-5304

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5013 AL Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5006 AL
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 3975 AL
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 4187 AL

Addresses

Primary practice location

9200 Highway 119
Suite 200
Alabaster, AL 35007-5337

Mailing address

9200 Highway 119
Suite 200
Alabaster, AL 35007-5337
Phone (205) 621-5304

Other names 1

  • Premiere Dental Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1962687608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 HIGHWAY 119",
            "address_2": "SUITE 200",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350075337",
            "telephone_number": "205-621-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 HIGHWAY 119",
            "address_2": "SUITE 200",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350075337",
            "telephone_number": "205-621-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAYGRAFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "205-621-5304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5013",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5006",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3975",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "4187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premiere Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.