Cramin Peter Wiltz II, DMD, CDT

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

5928 Issued in AL

Practice address

1041 Balch Rd
Suite 180
Madison, AL 35758-8343

Phone

(256) 319-3256

NPI assigned

Aug 19, 2013

Last updated

Feb 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aesthetic and Reconstructive Dentistry, LLC

  dba Madison Prosthodontics: Aesthetic and Reconstructive Dentistry, LLC

  • Prosthodontics
  • Madison, AL
  • NPI 1902297690
  NPD (past) Authorized official

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1962835553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 BALCH RD",
            "address_2": "SUITE 180",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588343",
            "telephone_number": "256-319-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 BALCH RD",
            "address_2": "SUITE 180",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588343",
            "telephone_number": "256-319-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZ",
        "first_name": "CRAMIN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD, CDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5928",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AL",
            "license": "5928",
            "primary": true
        },
        {
            "code": "126900000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory Technician",
            "state": "AL",
            "license": "233720-00",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Evan Willis, CRNP
• Willow Haven Counseling LLC
• Anika Wilson, MD
• Sharon Leigh Wilson, FNP
• Sophia Wilson
• Jimmy Gregory Winn, CRNP
• Winslow & Co LLC
• Segrid Yolanda Winston, CPT
• Carol P Wisdom
• Sarah Michelle Withrow, D.M.D

• Prosthodontics in Madison, AL
• Providers in Madison, AL by specialty
• Prosthodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.