What is Roger Craddock's NPI number?

Roger Craddock's National Provider Identifier (NPI) is 1114056694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Roger Craddock's specialty?

Roger Craddock is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).

Where is Roger Craddock located?

Roger Craddock's practice location on file with NPPES is 6268 Poplar Ave, Memphis, TN 38119-4713.

What is Roger Craddock's phone number?

The practice phone number listed in the NPPES registry for Roger Craddock is (901) 761-3770.

Is Roger Craddock's NPI active?

Yes — Roger Craddock's NPI (1114056694) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Roger Craddock, D.D.S.

NPI 1114056694 · Periodontics · Memphis, TN

Roger Craddock, D.D.S. is a Periodontics provider in Memphis, TN (NPI 1114056694).

Provider details

NPI number: 1114056694
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: No
License: 6912 (TN)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense 6912 (TN)
Dental Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

6268 Poplar Ave

Memphis, TN 38119-4713

Phone: (901) 761-3770

Fax: (901) 761-3775

Street-level locationGet directions

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Mailing address