DR. JOSEPH ALLAN CRADDOCK D.D.S.
NPI 1275629875
Dentist - General Practice in Attica, NY

Q: What is Joseph Craddock's NPI number?

The NPI number for Joseph Craddock is 1275629875. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Joseph Craddock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Craddock was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2006PECOS Enrolled

3325 E MAIN STREET RD, ATTICA, NY 14011(585) 591-1404(585) 591-2614 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Joseph Allan Craddock D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH ALLAN CRADDOCK D.D.S. (NPI 1275629875) is an individual general practice provider in Attica, New York, licensed in New York (048125) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275629875

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOSEPH ALLAN CRADDOCKCredential: D.D.S.

Location Address3325 E MAIN STREET RDAttica, NY 14011

Mailing Address3325 E. Main StreetAttica, NY 14011 · (585) 591-3509 · Fax (585) 591-2614

Phone(585) 591-1404

Fax(585) 591-2614

Sole ProprietorYes

Enumeration DateOctober 4, 2006

Last NPPES UpdateAugust 15, 2022

NPPES CertifiedAugust 15, 2022

✔ NPI 1275629875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 048125

Definition

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.

3325 E MAIN STREET RD, Attica, NY 14011

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph Allan Craddock D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KOSH DENTISTRY ATTICA

Clinic/Center (Dental)

3325 E MAIN STREET RD
ATTICA, NY 14011

Wyoming County (585) 591-1404

MICHELLE CARPENTER PA-C

Physician Assistant

3325 E MAIN STREET RD
ATTICA, NY 14011

Wyoming County (585) 591-0800

DR. OMAR S KHOKHAR MD

General Practice

3325 E MAIN STREET RD
ATTICA, NY 14011

Wyoming County (585) 591-0800

JACQUELIN VICTORIA DEATCHER NP, CDE

Nurse Practitioner (Adult Health)

3325 E MAIN STREET RD
ATTICA, NY 14011

Wyoming County (585) 547-3849

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Craddock's NPI number?

The NPI number for Joseph Craddock is 1275629875. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Joseph Craddock located?

Joseph Craddock practices at 3325 E Main Street Rd, Attica, NY 14011. The listed phone number is (585) 591-1404.

What is Joseph Craddock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Joseph Craddock enrolled in Medicare?

Yes. Joseph Craddock is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Craddock accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and UnitedHealthcare list Joseph Craddock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph Craddock was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.