DR. CRAIG DOUGLAS MCKIBBEN (NPI# 1407119241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407119241 |
| Entity Type | Individual |
| Full Name | DR. CRAIG DOUGLAS MCKIBBEN |
| Credential | D.D.S. |
| Practice Address |
2536 Deming Ave Columbus OH 43202-2719 |
| Practice Telephone | 4196514897 |
| Mailing Telephone | 4196514897 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30.023750 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235606203 | Craig J Mckibben | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2018-10-29 |
| Street Address |
2536 DEMING AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43202-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391730 | Dominic Clouse | Pharmacist | Jameson Crane Sports Medicine Institute Pharmacy, 2835 Fred Taylor Drive, Columbus, OH 43202 | 2020-06-24 |
| 1609353218 | Attache Home Care, LLC | Home Health | 10 E. Weber Rd., Suite 202, Columbus, OH 43202 | 2018-07-26 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1578954764 | Andrew Burrows | Home Health Aide | 2564 Deming Ave, Columbus, OH 43202 | 2015-02-10 |
| 1245525559 | Kathryn Anne Richardson | Specialist/Technologist | 3430 Ohiohealth Parkway, Columbus, OH 43202 | 2011-06-15 |
| 1760777395 | Erin Vance | Pharmacist | 3430 Ohiohealth Pkwy, Columbus, OH 43202 | 2011-06-11 |
| 1588974083 | Cdi Long Term Care LLC | Pharmacy | 11 W Duncan St., Columbus, OH 43202 | 2010-10-18 |
| 1679880082 | Betty Jean Howard | Counselor | 42 Tompkins Avenue, Columbus, OH 43202 | 2010-09-07 |
| 1265657134 | Christina T. Liscynesky | Internal Medicine | 700 Ackerman Road, Suite 385, Columbus, OH 43202 | 2007-04-16 |
| 1275647364 | Lynne V. Abruzzo | Pathology | 680 Ackerman Rd, Room D423, Columbus, OH 43202 | 2006-08-18 |
| Find all providers in zip 43202 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208874 | West Broad Dental Partners LLP | Dentist | 4089 W Broad St, Columbus, OH 43228-1614 | 2020-09-07 |
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1760004592 | Stephanie Leigh Sforza | Dentist | 1511 Runaway Bay Dr Apt 1a, Columbus, OH 43204-4812 | 2020-05-14 |
| 1487293403 | Columbus Dental Corp | Dentist | 1641 N National Rd, Columbus, IN 47201-5579 | 2019-12-23 |
| 1699319509 | Justin D. Shiflett, Dds, Inc. | Dentist | 3805 N High St Ste 207, Columbus, OH 43214-3539 | 2019-11-04 |
| 1730721499 | Tanner Jameson Mitchell | Dentist | 3105 Middle Dr Ste A, Columbus, IN 47203-4472 | 2019-10-15 |
| 1588143838 | Mark Christopher Pagano | Dentist | 5478 N Hamilton Rd, Columbus, OH 43230-1320 | 2018-08-08 |
| 1336630128 | Annie Courtemanche | Dentist | 6499 E Broad St Ste 110, Columbus, OH 43213-6506 | 2018-05-29 |
| 1619468766 | Blue Ridge Community Health Services Inc | Dentist | 158 White Dr, Columbus, NC 28722-9465 | 2018-05-24 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.