Individual provider Active NPI

Amy E Crary, DMD

  • General Practice Dentistry
  • Stuart, FL
National Provider Identifier
1033305594
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15951 Issued in FL
Practice address
931 SE Ocean Blvd
Suite B1
Stuart, FL 34994-2425
Phone
(772) 463-4026
Fax
(772) 463-4452
NPI assigned
Sep 19, 2007
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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 DN15951 FL Primary

Addresses

Primary practice location

931 SE Ocean Blvd
Suite B1
Stuart, FL 34994-2425

Mailing address

931 SE Ocean Blvd
Suite #B1
Stuart, FL 34994-2425
Phone (772) 463-4026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160208000301 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254635550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN15951FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Smile Design CurrentSince Jul 21, 2024 Accepting new patients
Amy Elizabeth Crary DMD PA Current Accepting new patients

Locations

931 SE Ocean Blvd
Ste B1
Stuart, FL 34994
Phone (772) 463-4026

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1033305594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SE OCEAN BLVD",
            "address_2": "SUITE #B1",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942425",
            "telephone_number": "772-463-4026",
            "fax_number": "772-463-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SE OCEAN BLVD",
            "address_2": "SUITE B1",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942425",
            "telephone_number": "772-463-4026",
            "fax_number": "772-463-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRARY",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.