DR. JOSEPH PAUL CRAVEN DDS
NPI 1336705375
Dentist - Oral and Maxillofacial Surgery in Columbus, OH
NPI Status: Active since May 15, 2019
Contact Information
1161 BETHEL RD STE 303
COLUMBUS, OH
ZIP 43220
Phone: (614) 457-9337
- Individual
- Male
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
- Opted-Out Medicare
About JOSEPH CRAVEN
This page provides the complete NPI Profile along with additional information for Joseph Craven, a provider established in Columbus, Ohio with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1336705375 assigned on May 2019. The practitioner's primary taxonomy code is 1223S0112X with license number 30.025725 (OH). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1336705375
- Provider Name
- DR. JOSEPH PAUL CRAVEN DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1161 BETHEL RD STE 303 COLUMBUS, OH 43220
- Location Phone
- (614) 457-9337
- Mailing Address
- 1151 BETHEL RD STE 104 COLUMBUS, OH 43220
- Mailing Phone
- (614) 457-9337
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-15-2019
- Last Update Date
- 07-23-2024
- Code Navigator
A dentist like Joseph Craven is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Joseph Craven opted out of Medicare effective on 08-22-2024 until 08-22-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 30.025725
- License State
- OH
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Delta Dental Individual Pediatric-Only PPO, EHB Certified - PPO
- Delta Dental Individual PPO Bronze Plan, EHB Certified - PPO
- Delta Dental Individual PPO Gold Plan, EHB Certified - PPO
- Delta Dental Individual PPO Silver Plan, EHB Certified - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-22-2024
Opt-Out End Date: 08-22-2026
Eligible to Order and Refer? No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 7 | 0 | 5 | 3 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 14 | 0 | 10 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 4 + 0 + 1 + 0 + 3 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1336705375 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316030885 | DR. MONTE EDWARD MASONBRINK D.D.S. Individual | Dentist (Oral and Maxillofacial Surgery) | 1161 BETHEL RD STE 303 COLUMBUS, OH 43220 (614) 457-9337 |
| 1275613085 | DR. DAVID ALLEN SMELTZER DDS, MS Individual | Dentist (Oral and Maxillofacial Surgery) | 1161 BETHEL RD STE 303 COLUMBUS, OH 43220 (614) 457-9337 |
| 1528037413 | DR. GREGORY MARK NESS D.D.S. Individual | Oral & Maxillofacial Surgery | 1161 BETHEL RD STE 303 COLUMBUS, OH 43220 (614) 457-9337 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336705375, enumerated in the NPI registry as an "individual" on May 15, 2019
The provider is located at 1161 Bethel Rd Ste 303 Columbus, Oh 43220 and the phone number is (614) 457-9337
The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: Aetna CVS Health, Delta Dental of Ohio and Humana. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on August 22, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 22, 2026.
This NPI record was last updated on May 15, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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