James Berrett Crandall, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

24760 Issued in CA

Practice address

7484 University Avenue
Suite 150
La Mesa, CA 91941-6084

Phone

(619) 460-2500

Fax

(619) 462-3169

NPI assigned

Jul 6, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104024660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7484 UNIVERSITY AVENUE",
            "address_2": "SUITE 150",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416084",
            "telephone_number": "619-460-2500",
            "fax_number": "619-462-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7484 UNIVERSITY AVENUE",
            "address_2": "SUITE 150",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416084",
            "telephone_number": "619-460-2500",
            "fax_number": "619-462-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "JAMES",
        "middle_name": "BERRETT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "24760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B2476001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cox Dental Corporation
• Kevin Alan Cox, DPM
• Tiffany Cox, PSY.D., LMFT
• Stephanie Coyle, LMFT
• Bruce Crabtree, MD
• Kwilanzo Crawford
• Larry Dean Crawford Jr., LMFT
• Angela Lin Crispo-Doherty, PHARMD, BCPP
• April Julia Cromie, PMHNP-BC, APRN, MSN
• Christopher V Crosby, M.D., PH.D.

• Dentist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Dentist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.