Individual provider Active NPI

Alexander Crawford, DMD

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1013598770
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0011523 Issued in DE
Practice address
1702 Lovering Ave
Wilmington, DE 19806-2120
Phone
(302) 652-5312
NPI assigned
Apr 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G1-0011523 DE Primary

Addresses

Primary practice location

1702 Lovering Ave
Wilmington, DE 19806-2120

Mailing address

1702 Lovering Ave
Wilmington, DE 19806-2120

Other practice location 1

200 Cleaver Farms Rd Ste 101
Middletown, DE 19709-1630
Phone (302) 376-0617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616000627 DE Order and Referring Only - DentistPractitioner - Dentist 0446650220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0011523DEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
First State Dental P.a. General Practice CurrentSince Aug 18, 2024 Accepting new patients
Delaware Dental Group LLC Dba Brian McAllister, DDS & Associates General Practice PastSince Aug 11, 2024 Accepting new patients
Brian McAllister, DDS, PA General Practice Past Accepting new patients

Locations

1702 Lovering Ave
Wilmington, DE 19806
Phone (302) 652-5312

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1013598770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 LOVERING AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 LOVERING AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062120",
            "telephone_number": "302-652-5312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Cleaver Farms Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197091630",
            "country_code": "US",
            "telephone_number": "302-376-0617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "ALEXANDER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0011523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.