Charles N Crowder, DMD, MPH, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5203 Issued in AL

Practice address

334 John D Odom Rd
Dothan, AL 36303-9479

Phone

(334) 792-5124

Fax

(334) 793-2049

NPI assigned

Jan 16, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Charles N Crowder DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dothan, AL
  • NPI 1881883429
  NPD (past) Authorized official

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1124536917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 JOHN D ODOM RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039479",
            "telephone_number": "334-792-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 JOHN D ODOM RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039479",
            "telephone_number": "334-792-5124",
            "fax_number": "334-793-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "CHARLES",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "5203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Franklin Crockett III
• Frank T. Crockett, M.D.
• James Crockett, DPT
• Jamie Croley
• Towanna Shea Crooms, CRNP
• Kristen Flowers Crowder, DMD
• Shanda Leeann Crowe, MS, RDN, LDN
• Hollie G Crutchfield, CRNP
• Estrella Franchesca Cuc, RBT
• Leslie Haynes Cude, LCSW, PIP

• Orthodontics and Dentofacial Orthopedics Dentistry in Dothan, AL
• Providers in Dothan, AL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.