Active NPI
William W Craig, MD
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1982779591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4453
- Practice address
- 3201 S Maryland Pky
Suite 624
Las Vegas, NV 89109-2428 - Phone
- (702) 862-4636
- Fax
- (702) 862-4669
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4453 | NV | Primary |
Addresses
Primary practice location
3201 S Maryland Pky
Suite 624
Las Vegas, NV 89109-2428
Mailing address
3201 S Maryland Pky
Suite 624
Las Vegas, NV 89109-2428
Phone (702) 862-4636
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3102442 | Other | NV | EPSDT |
| 2002442 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982779591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 S MARYLAND PKY",
"address_2": "SUITE 624",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092428",
"telephone_number": "702-862-4636",
"fax_number": "702-862-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 S MARYLAND PKY",
"address_2": "SUITE 624",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092428",
"telephone_number": "702-862-4636",
"fax_number": "702-862-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "WILLIAM",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "4453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPSDT",
"identifier": "3102442",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2002442",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.