DR. PATRICIA SUE CRADDOCK DDS
NPI 1962547471
Dentist - General Practice in Las Vegas, NV

NPI Status: Active since February 21, 2007

Contact Information

820 S 7TH ST
LAS VEGAS, NV
ZIP 89101
Phone: (702) 678-1835

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  • Individual
  • Female
  • Dentist
  • General Practice

About PATRICIA CRADDOCK

This page provides the complete NPI Profile along with additional information for Patricia Craddock, a provider established in Las Vegas, Nevada with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1962547471 assigned on February 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 2095 (NV). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1962547471
Provider Name
DR. PATRICIA SUE CRADDOCK DDS
Gender
Female
Entity Type
Individual
Location Address
820 S 7TH ST LAS VEGAS, NV 89101
Location Phone
(702) 678-1835
Mailing Address
3021 BRIGHTON CREEK CT LAS VEGAS, NV 89135
Mailing Phone
(702) 363-9738
Is Sole Proprietor?
Yes
Enumeration Date
02-21-2007
Last Update Date
07-08-2007
Code Navigator

A dentist like Patricia Craddock 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.

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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
2095
License State
NV
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2202600MEDICAID (05)NV 

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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.
1962547471
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2912210414414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 0 + 4 + 1 + 4 + 4 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1962547471 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114051299DR. AFSHIN AZIMI DDS
Individual
Dentist (General Practice)820 S 7TH ST C&D
LAS VEGAS, NV 89101
(702) 759-0005
1912284092A-Z DENTAL LLC
Organization
Dentist (General Practice)820 S 7TH ST SUITE C
LAS VEGAS, NV 89101
(702) 759-0005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962547471, enumerated in the NPI registry as an "individual" on February 21, 2007

The provider is located at 820 S 7th St Las Vegas, Nv 89101 and the phone number is (702) 678-1835

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 21, 2007. 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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