W Dodson Creighton M D Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G27744 Issued in CA

Legal business name

W DODSON CREIGHTON M D INC

Practice address

197 W Legion Rd
Suite #200
Brawley, CA 92227-7727

Phone

(760) 344-7412

Fax

(760) 344-9956

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Dodson Creighton, M.D.NPI 1245371814

Title

Allergy Specialists

Phone

(760) 344-7412

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• William Dodson Creighton, M.D.

  • Specialist
  • Brawley, CA
  • NPI 1245371814
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1982874715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 W LEGION RD",
            "address_2": "SUITE # 200",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277727",
            "telephone_number": "760-344-7412",
            "fax_number": "760-344-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 W LEGION RD",
            "address_2": "SUITE #200",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277727",
            "telephone_number": "760-344-7412",
            "fax_number": "760-344-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W DODSON CREIGHTON M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "CREIGHTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DODSON",
        "authorized_official_title_or_position": "ALLERGY SPECIALISTS",
        "authorized_official_telephone_number": "760-344-7412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G27744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G27744",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dinesh Vithalani, R.PH.
• Denise Vizcarra
• Vo Medical Center
• Qui Jeff Vo, M.D.
• Vons Companies Inc
• Walmart Inc.
• Andrew Kenneth Wells
• Thomas Lee Whitehead Jr., FNP-C
• Mark Whyte, MD
• Jeffrey Wise

• Medical Specialty Clinic/Center in Brawley, CA
• Providers in Brawley, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.