Organization Active NPI

Crutchfield Dental, Inc.

  • Pediatric Dentistry
  • Yuba City, CA
National Provider Identifier
1043852452
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CRUTCHFIELD DENTAL, INC.
Practice address
950 Tharp Rd Ste 602
Yuba City, CA 95993-8347
Phone
(530) 777-3717
NPI assigned
Oct 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Debbie Wilson
Title
Office Manager
Phone
(916) 435-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

950 Tharp Rd Ste 602
Yuba City, CA 95993-8347

Mailing address

5420 Park Dr
Rocklin, CA 95765-5562
Phone (916) 435-5230

National Provider Directory

National Provider Directory

Locations

5420 Park Dr
Rocklin, CA 95765
Phone (916) 435-5230

950 Tharp Rd
Ste 602
Yuba City, CA 95993
Phone (530) 777-3717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1043852452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 PARK DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655562",
            "telephone_number": "916-435-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 THARP RD STE 602",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959938347",
            "telephone_number": "530-777-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUTCHFIELD DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-435-5230"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.