Individual provider Active NPI

Jeffrey Dean Crabtree, D.D.S.

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1114184678
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10679 Issued in FL
Practice address
2500 Tamiami TRL N
Ste.#217
Naples, FL 34103-4470
Phone
(239) 775-5588
Fax
(239) 434-2543
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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 DN10679 FL Primary

Addresses

Primary practice location

2500 Tamiami TRL N
Ste.#217
Naples, FL 34103-4470

Mailing address

2500 Tamiami TRL N Ste 217
Naples, FL 34103-4470
Phone (239) 775-5588

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
I20160917000230 FL Order and Referring Only - DentistPractitioner - Dentist 4880981927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10679FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1114184678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 TAMIAMI TRL N STE 217",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034470",
            "telephone_number": "239-775-5588",
            "fax_number": "239-434-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 TAMIAMI TRL N",
            "address_2": "STE.#217",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034470",
            "telephone_number": "239-775-5588",
            "fax_number": "239-434-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "JEFFREY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.