RICHARD A CRAIG DDS NPI 1124041769

NPI Information

  • NPI: 1124041769
  • Provider Name: RICHARD A CRAIG, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14831 W 159TH ST STE 1
    LOCKPORT, IL
    ZIP 60491
  • Phone: (815) 483-2980

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NPI Details

Richard A Craig, DDS is a general practice dentist in Lockport, IL. The provider is 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. Richard A Craig, DDS NPI is 1124041769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14831 W 159TH ST STE 1
LOCKPORT, IL
ZIP 60491-008
Phone: (815) 483-2980
Fax: (815) 744-7059

The NPI 1124041769 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/25/2006 and was last updated on 1/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019014284ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11053431981OTHERGROUP NPI
21508198474OTHERPRACTICE LOCATION TYPE II NPI
31306177241OTHERPRACTICE LOCATION TYPE II NPI
41295165439OTHERPRACTICE LOCATION TYPE II NPI
51063649770OTHERGROUP NPI
61205145554OTHERPRACTICE LOCATION TYPE II NPI
71760882005OTHERPRACTICE LOCATION TYPE II NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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