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DR. MICHAEL RAYMOND CRADDOCK DDS
NPI 1871541276
Dentist - Prosthodontics in Kirtland Afb, NM

Active since May 05, 2006PECOS Enrolled
2050A 2ND ST SE, KIRTLAND AFB, NM 87117(505) 846-3200 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2021, Jan 10, 2019, Dec 13, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Michael Raymond Craddock Dds NPPES

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

DR. MICHAEL RAYMOND CRADDOCK DDS (NPI 1871541276) is an individual prosthodontics provider in Kirtland Afb, New Mexico, licensed in Colorado (DEN.00009325) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871541276
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. MICHAEL RAYMOND CRADDOCKCredential: DDS
Location Address2050A 2ND ST SEKirtland Afb, NM 87117-5901
Mailing Address2050a 2nd St SeKirtland Afb, NM 87117-1823 · (719) 502-0612
Phone(505) 846-3200
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateApril 14, 20214 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1871541276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses✔ Licensed in CO · DEN.00009325✔ Licensed in TX · 14481
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentistTaxonomy 122300000X · License DEN.00009325 (CO), DD5009 (NM)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 14481 (TX)
2050A 2ND ST SE, Kirtland Afb, NM 87117
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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. Michael Raymond Craddock Dds 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 87117 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 20

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

DR. MICHAEL CARVAJAL PSY.D.
Psychologist (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
FRANCISCO F. GALLARDO JR. DDS, MS
Dentist (Prosthodontics)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3027
PAIGE LOREEN ANDRE-HUDSON
Social Worker (Clinical)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
THOMAS POWELL MD
Emergency Medicine
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
JAROM JARDINE DO
Pediatrics
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200
DR. TAMERA BORCHARDT WHNP. DNP
Nurse Practitioner (Women's Health)
2050A 2ND ST SE
ALBUQUERQUE, NM 87117
Bernalillo County (505) 846-3200
DR. MARY ANN TERESE ORZECH M.D.
Preventive Medicine (Occupational Medicine)
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-2520
DR. LETICIA R TURNER O.T.D.
Occupational Therapist
2050A 2ND ST SE
KIRTLAND AFB, NM 87117
Bernalillo County (505) 846-3200

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 Michael Craddock's NPI number?

The NPI number for Michael Craddock is 1871541276. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Michael Craddock located?

Michael Craddock practices at 2050A 2nd St SE, Kirtland Afb, NM 87117. The listed phone number is (505) 846-3200.

What is Michael Craddock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Michael Craddock enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Craddock was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.