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CRAIG JAMES DOWNER D.D.S.
NPI 1861839540
Dentist - Dental Public Health in Mt Pleasant, MI

Active since June 04, 2013PECOS Enrolled
601 N MAIN ST, MT PLEASANT, MI 48858(989) 773-7232(989) 773-5573 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Craig James Downer D.d.s. NPPES

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

CRAIG JAMES DOWNER D.D.S. (NPI 1861839540) is an individual dental public health provider in Mt Pleasant, Michigan, licensed in Michigan (2901020925) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861839540
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameCRAIG JAMES DOWNERCredential: D.D.S.
Location Address601 N MAIN STMt Pleasant, MI 48858-1535
Mailing Address601 N Main StMt Pleasant, MI 48858-1535 · (989) 773-7232 · Fax (989) 773-5573
Phone(989) 773-7232
Fax(989) 773-5573
Sole ProprietorNo
Enumeration DateJune 4, 2013
Last NPPES UpdateJune 6, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1861839540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in MI · 2901020925
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
601 N MAIN ST, Mt Pleasant, MI 48858
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Craig James Downer 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 48858 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 3

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

CRAIG DOWNER DDS PLC
Clinic/Center (Dental)
601 N MAIN ST
MOUNT PLEASANT, MI 48858
Isabella County (989) 773-7232
DR. MICHAEL ROY KRUSCKE D.D.S.
Dentist (General Practice)
601 N MAIN ST
MOUNT PLEASANT, MI 48858
Isabella County (989) 773-7232
CRAIG DOWNER DDS PLC
Clinic/Center (Dental)
601 N MAIN ST
MOUNT PLEASANT, MI 48858
Isabella County (989) 773-7232

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 Craig Downer's NPI number?

The NPI number for Craig Downer is 1861839540. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Craig Downer located?

Craig Downer practices at 601 N Main St, Mt Pleasant, MI 48858. The listed phone number is (989) 773-7232.

What is Craig Downer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Craig Downer enrolled in Medicare?

Yes. Craig Downer is registered in the Medicare PECOS enrollment system.

What insurance does Craig Downer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 13 other insurers list Craig Downer 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 Craig Downer was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.