Alan L Crisman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3752 Issued in TN

Practice address

1421 Armour Street
Chattanooga, TN 37412

Phone

(423) 624-0511

Fax

(423) 629-5278

NPI assigned

Apr 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Practice Group of Tennessee, PLLC

  dba Children's Dentistry of Red Bank

  • Dentist
  • Memphis, TN
  • NPI 1497058788
  NPD (past)

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093935157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 ARMOUR STREET",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37412",
            "telephone_number": "423-624-0511",
            "fax_number": "423-629-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 ARMOUR STREET",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37412",
            "telephone_number": "423-624-0511",
            "fax_number": "423-629-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISMAN",
        "first_name": "ALAN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Faith Crespo, BEHAVIOR TECHNICIAN
• Chelsea Flora Crews
• Honey Crider, RBT
• Zachary Wayne Crider
• Hayden Crihfield
• Joshua Crisp
• Mary Nicole Crittenden, PT
• Crna Associates, P.C.
• Jermiah Crockett
• Sara Elizabeth Crockett, M.ED.

• General Practice Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.