David Gordon Crabtree, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

106046 Issued in CA

Practice address

1225 Marshall St Ste 20
Crescent City, CA 95531-2281

Phone

(707) 464-8393

NPI assigned

Jun 8, 2012

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 CO

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.

• David G Crabtree DDS PLLC

  • Dentist
  • Colorado Springs, CO
  • NPI 1710397187
  NPD (past) Authorized official
• Nerra Dental PLLC

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1427541689
  NPD (past)

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1124380886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MARSHALL ST STE 20",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312281",
            "telephone_number": "707-464-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MARSHALL ST STE 20",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312281",
            "telephone_number": "707-464-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "DAVID",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of del Norte
• Jonathan Coutin, DDS
• George Nicolai Cowen Jr.
• Leann Lucinda Cox, CAS III
• Madeline R Coyle
• Crescent City Internal Medicine
• Crescent City Nurse Anesthetist
• Crescent City Post Acute LLC
• Crescent City Skilled Nursing, LLC
• Shirley Crockett

• Dentist in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.