DR. WILLIE CRADOC III D.D.S.
NPI 1780983957
Dentist in Richmond, TX

Q: What is Willie Cradoc's NPI number?

The NPI number for Willie Cradoc is 1780983957. It was assigned to this individual provider in the NPPES registry on March 26, 2011.

Q: What is Willie Cradoc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Willie Cradoc was last updated on March 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 26, 2011PECOS Enrolled

5614 W GRAND PKWY S, SUITE 120, RICHMOND, TX 77406(310) 909-3870 Get Directions Write a Review

NPPES record last updated: March 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Willie Cradoc Iii D.d.s. NPPES

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

DR. WILLIE CRADOC III D.D.S. (NPI 1780983957) is an individual dentist in Richmond, Texas, licensed in Texas (26286) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780983957

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. WILLIE CRADOC IIICredential: D.D.S.

Location Address5614 W GRAND PKWY S, SUITE 120Richmond, TX 77406-5820

Mailing Address2272 Lake Terrace DrChino Hills, CA 91709-1763

Phone(310) 909-3870

Sole ProprietorYes

Enumeration DateMarch 26, 2011

✔ NPI 1780983957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 26286

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5614 W GRAND PKWY S, Richmond, TX 77406

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Willie Cradoc Iii 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 77406 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

$84.92 typical visit price

range $54.84 – $166.88

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

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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 Willie Cradoc's NPI number?

The NPI number for Willie Cradoc is 1780983957. It was assigned to this individual provider in the NPPES registry on March 26, 2011.

Where is Willie Cradoc located?

Willie Cradoc practices at 5614 W Grand Pkwy S Suite 120, Richmond, TX 77406. The listed phone number is (310) 909-3870.

What is Willie Cradoc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Willie Cradoc enrolled in Medicare?

Yes. Willie Cradoc is registered in the Medicare PECOS enrollment system.

What insurance does Willie Cradoc accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Willie Cradoc 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 Willie Cradoc was last updated on March 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.