Michael Raymond Craddock, DDS
NPI 1871541276ActiveIndividual· Dentist, Prosthodontics· Kirtland Afb, NM
Dentist, Prosthodontics (DDS) in Kirtland Afb, New Mexico, licensed in CO, NM and TX, with an NPI issued in May 2006. Enrolled in Medicare as practitioner - dentist.
Overview
| NPI | 1871541276 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | May 5, 2006 |
| Last updated in NPPES | Apr 14, 2021 |
| Certified by provider | Mar 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | DEN.00009325 | CO |
| Dentist | 122300000X | DD5009 | NM |
| Dentist, General Practice | 1223G0001X | 14481 | TX |
| Dentist, Prosthodontics | 1223P0700X | 14481 | TX |
| Dentist | 122300000X | DEN.00009325 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (TX) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, Prosthodontics providers in Kirtland Afb
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