Individual provider Active NPI

Jessica Tunstill Crews, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jacksonville, FL
National Provider Identifier
1104054220
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN18746 Issued in FL
Practice address
3600 Cardinal Point Dr
Jacksonville, FL 32257-5581
Phone
(904) 737-4626
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN18746 FL Primary

Addresses

Primary practice location

3600 Cardinal Point Dr
Jacksonville, FL 32257-5581

Mailing address

3600 Cardinal Point Dr
Jacksonville, FL 32257-5581
Phone (904) 737-4626

Other practice location 1

2750 Race Track Rd
Fruit Cove, FL 32259-3227
Phone (904) 737-4626

Other names 1

  • Mrs. Jessica Tunstill Crews Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN18746FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell R Levine DMD PA PastSince Nov 15, 2020 Accepting new patients
Mitchell R Levine DMD, PA, North Florida Orthodontics Orthodontics and Dentofacial Orthopedics PastSince Nov 15, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1104054220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575581",
            "telephone_number": "904-737-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575581",
            "telephone_number": "904-737-4626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 Race Track Rd",
            "address_purpose": "LOCATION",
            "city": "Fruit Cove",
            "state": "FL",
            "postal_code": "322593227",
            "country_code": "US",
            "telephone_number": "904-737-4626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREWS",
        "first_name": "JESSICA",
        "middle_name": "TUNSTILL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN18746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CREWS",
            "middle_name": "TUNSTILL",
            "prefix": "MRS.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.