Active NPI
Dentists at Lakewood Ranch, PA
Doing business as Dentists at Lakewood Ranch
- General Practice Dentistry
- Lakewood Ranch, FL
National Provider Identifier
1174225213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTISTS AT LAKEWOOD RANCH, PA
- Doing business as
- Dentists at Lakewood Ranch
- Practice address
- 6588 University Pkwy Ste 102
Lakewood Ranch, FL 34240-9049 - Phone
- (941) 256-3714
- Fax
- (941) 256-3226
- NPI assigned
- Mar 21, 2023
- Last updated
- Mar 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amelia Crawford, DMD
- Title
- Owner
- Phone
- (941) 256-3714
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
6588 University Pkwy Ste 102
Lakewood Ranch, FL 34240-9049
Mailing address
PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890
Other names 1
- Dentists at Lakewood Ranch
National Provider Directory
National Provider DirectoryLocations
6588 University Pkwy
Ste 102
Lakewood Ranch, FL 34240
Phone (941) 256-3714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679356800000",
"number": "1174225213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 920050",
"city": "DALLAS",
"state": "TX",
"postal_code": "753920050",
"telephone_number": "714-845-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6588 UNIVERSITY PKWY STE 102",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342409049",
"telephone_number": "941-256-3714",
"fax_number": "941-256-3226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTISTS AT LAKEWOOD RANCH, PA",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-21",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "AMELIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-256-3714",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dentists at Lakewood Ranch",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.