NPIMap

Organization Active NPI

Craig a. Fedore,D.D.S., P.C.

  • General Practice Dentistry
  • East Lansing, MI
National Provider Identifier
1972583334
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13143 Issued in MI
Legal business name
CRAIG A. FEDORE,D.D.S., P.C.
Practice address
714 Abbott Rd
East Lansing, MI 48823-3101
Phone
(517) 337-0351
Fax
(517) 337-5610
NPI assigned
Jan 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. Craig A Fedore, D.D.S.NPI 1801083860
Title
President
Phone
(517) 337-0351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13143 MI Primary

Addresses

Primary practice location

714 Abbott Rd
East Lansing, MI 48823-3101

Mailing address

714 Abbott Rd
East Lansing, MI 48823-3101
Phone (517) 332-7035

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1972583334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 ABBOTT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233101",
            "telephone_number": "517-332-7035",
            "fax_number": "517-337-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 ABBOTT RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233101",
            "telephone_number": "517-337-0351",
            "fax_number": "517-337-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG A. FEDORE,D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "FEDORE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-337-0351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.