Individual provider Active NPI

Jude Crutchfield, D.M.D

  • Pediatric Dentistry
  • Rocklin, CA
National Provider Identifier
1184886657
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
58211 Issued in CA
Practice address
5420 Park Dr
Rocklin, CA 95765-5562
Phone
(916) 660-2904
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 58211 CA Primary

Addresses

Primary practice location

5420 Park Dr
Rocklin, CA 95765-5562

Mailing address

3870 Iron Wheel CT
Rocklin, CA 95765-4655
Phone (916) 660-2904

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
00000000000000000000PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Crutchfield Pediatric Dental Group Pediatric Dentistry Current Accepting new patients
Crutchfield Dental, Inc. Pediatric Dentistry CurrentSince Oct 20, 2019 Accepting new patients

Locations

5420 Park Dr
Rocklin, CA 95765
Phone (916) 435-5230

950 Tharp Rd
Ste 602
Yuba City, CA 95993
Phone (530) 777-3717

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1184886657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 IRON WHEEL CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654655",
            "telephone_number": "916-660-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 PARK DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655562",
            "telephone_number": "916-660-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTCHFIELD",
        "first_name": "JUDE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.